LEAH JO BUNDT Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001200

License Status

INACTIVE

Business

First Name

LEAH

Middle

Last Name

BUNDT

Business Name

LEAH JO BUNDT

Original Issue Date

12/10/1998

Effective Date

06/07/2002

Expiration Date

05/31/2002

City

KALAMAZOO

State

Zip

49008

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/11/2005