STEPHANIE N FORTON Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004115

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

FORTON

Business Name

STEPHANIE N FORTON

Original Issue Date

09/09/2015

Effective Date

09/09/2015

Expiration Date

05/31/2016

City

ALTO

State

Zip

49302

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/11/2016