LAUREN A DIELEMAN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004004

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

Last Name

DIELEMAN

Business Name

LAUREN A DIELEMAN

Original Issue Date

07/16/2015

Effective Date

05/12/2016

Expiration Date

05/31/2018

City

REPUBLIC

State

Zip

65738

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/19/2018