CARRIE LEE MOORE Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005100

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

LEE

Last Name

MOORE

Business Name

CARRIE LEE MOORE

Original Issue Date

12/19/2019

Effective Date

08/06/2020

Expiration Date

05/31/2022

City

WENTZVILLE

State

Zip

63385

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/27/2022