STEPHANIE DIANE MOORE Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002502

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

DIANE

Last Name

MOORE

Business Name

STEPHANIE DIANE MOORE

Original Issue Date

08/29/2007

Effective Date

05/20/2008

Expiration Date

05/31/2010

City

LEXINGTON

State

Zip

40517

County

KENTUCKY

Ever Disciplined

LastModifiedDate

03/05/2010