HEATH DAVID HANSEN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002179

License Status

NOT RENEWED

Business

First Name

HEATH

Middle

DAVID

Last Name

HANSEN

Business Name

HEATH DAVID HANSEN

Original Issue Date

08/16/2005

Effective Date

06/01/2006

Expiration Date

05/31/2008

City

HOBART

State

Zip

46342

County

INDIANA

Ever Disciplined

LastModifiedDate

07/11/2008