DAVID BAZA Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005173

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

BAZA

Business Name

DAVID BAZA

Original Issue Date

07/24/2020

Effective Date

07/24/2020

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

65802

Ever Disciplined

LastModifiedDate

07/27/2022