JUSTIN M ULLOM Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005036

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

Last Name

ULLOM

Business Name

JUSTIN M ULLOM

Original Issue Date

09/25/2019

Effective Date

09/25/2019

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63104

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021