EVELYN ROSE HEFFNER Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004197

License Status

NOT RENEWED

Business

First Name

EVELYN

Middle

ROSE

Last Name

HEFFNER

Business Name

EVELYN ROSE HEFFNER

Original Issue Date

03/04/2016

Effective Date

03/04/2016

Expiration Date

05/31/2018

City

FORT WAYNE

State

Zip

46835

County

INDIANA

Ever Disciplined

LastModifiedDate

07/19/2018