DAVID ALLEN PAULSEN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001215

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ALLEN

Last Name

PAULSEN

Business Name

DAVID ALLEN PAULSEN

Original Issue Date

01/12/1999

Effective Date

07/17/2000

Expiration Date

05/31/2000

City

CEDAR LAKE

State

Zip

46303

Ever Disciplined

LastModifiedDate

09/11/2005