AMY KATHLEEN JACKSON Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001381

License Status

NOT RENEWED

Business

First Name

AMY

Middle

KATHLEEN

Last Name

JACKSON

Business Name

AMY KATHLEEN JACKSON

Original Issue Date

07/27/2000

Effective Date

09/16/2020

Expiration Date

05/31/2022

City

HIGHLAND

State

Zip

46322

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022