TAKASHI KAWAHARA Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002313

License Status

NOT RENEWED

Business

First Name

TAKASHI

Last Name

KAWAHARA

Business Name

TAKASHI KAWAHARA

Original Issue Date

07/14/2006

Effective Date

07/14/2006

Expiration Date

05/31/2008

City

TERRE HAUTE

State

Zip

47802

County

INDIANA

Ever Disciplined

LastModifiedDate

07/11/2008