TERA M MORITZ Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003336

License Status

NOT RENEWED

Business

First Name

TERA

Middle

Last Name

MORITZ

Business Name

TERA M MORITZ

Original Issue Date

05/29/2012

Effective Date

03/24/2014

Expiration Date

05/31/2016

City

OSAGE BEACH

State

Zip

65065

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/11/2016