MELISSA ANN SMALLWOOD Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001214

License Status

INACTIVE

Business

First Name

MELISSA

Middle

ANN

Last Name

SMALLWOOD

Business Name

MELISSA ANN SMALLWOOD

Original Issue Date

01/12/1999

Effective Date

04/28/2000

Expiration Date

05/31/2000

City

DARDENNE PRAIRIE

State

Zip

63368

Ever Disciplined

LastModifiedDate

09/11/2005