TANNER J MAKSYMICZ Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004259

License Status

NOT RENEWED

Business

First Name

TANNER

Middle

Last Name

MAKSYMICZ

Business Name

TANNER J MAKSYMICZ

Original Issue Date

07/22/2016

Effective Date

07/22/2016

Expiration Date

05/31/2018

City

LAFAYETTE

State

Zip

47909

County

INDIANA

Ever Disciplined

LastModifiedDate

07/19/2018