DANIEL W DIERS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000736

License Status

NOT RENEWED

Business

First Name

DANIEL W

Last Name

DIERS

Business Name

DANIEL W DIERS

Original Issue Date

07/27/1995

Effective Date

06/21/2002

Expiration Date

05/31/2002

City

ELLISVILLE

State

Zip

39437

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

09/11/2005