DESIREE ANNE MUDD Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002152

License Status

INACTIVE

Business

First Name

DESIREE

Middle

ANNE

Last Name

MUDD

Business Name

DESIREE ANNE MUDD

Original Issue Date

06/27/2005

Effective Date

05/14/2010

Expiration Date

05/31/2012

City

MONROE CITY

State

Zip

63456

County

MISSOURI

Ever Disciplined

LastModifiedDate

03/08/2012