DOUGLAS EDWARD HORTON Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002743

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

EDWARD

Last Name

HORTON

Business Name

DOUGLAS EDWARD HORTON

Original Issue Date

02/18/2009

Effective Date

02/18/2009

Expiration Date

05/31/2010

City

COVINGTON

State

Zip

47932

County

INDIANA

Ever Disciplined

LastModifiedDate

08/11/2010