LORI A KHAZEN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001417

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

KHAZEN

Business Name

LORI A KHAZEN

Original Issue Date

10/03/2000

Effective Date

06/01/2012

Expiration Date

05/31/2014

City

MARYLAND HEIGHTS

State

Zip

63043

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/03/2014