JACOB WILLIAM TUCKER Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002692

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

WILLIAM

Last Name

TUCKER

Business Name

JACOB WILLIAM TUCKER

Original Issue Date

09/24/2008

Effective Date

02/15/2019

Expiration Date

09/30/2020

City

TERRE HAUTE

State

Zip

47803

Ever Disciplined

LastModifiedDate

01/14/2021