KEITH A TEBBE Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002761

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

TEBBE

Business Name

KEITH A TEBBE

Original Issue Date

04/15/2009

Effective Date

05/18/2012

Expiration Date

05/31/2014

City

WHEATLAND

State

Zip

47597

County

INDIANA

Ever Disciplined

LastModifiedDate

07/03/2014