LUCY BROADDUS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002855

License Status

NOT RENEWED

Business

First Name

LUCY

Last Name

BROADDUS

Business Name

LUCY BROADDUS

Original Issue Date

10/09/2009

Effective Date

05/10/2012

Expiration Date

05/31/2014

City

AFFTON

State

Zip

63123

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/03/2014