MARK RANDALL DAVIS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000994

License Status

NOT RENEWED

Business

First Name

MARK RANDALL

Last Name

DAVIS

Business Name

MARK RANDALL DAVIS

Original Issue Date

05/19/1997

Effective Date

07/17/2000

Expiration Date

05/31/2000

City

CAPE GIRARDEAU

State

Zip

63703

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005