KELSEY LEE FOSS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004333

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

LEE

Last Name

FOSS

Business Name

KELSEY LEE FOSS

Original Issue Date

09/12/2016

Effective Date

06/14/2018

Expiration Date

09/30/2020

City

FORT WAYNE

State

Zip

46825

Ever Disciplined

LastModifiedDate

01/14/2021