SCOTT A STREET Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000133

License Status

INACTIVE

Business

First Name

SCOTT A

Last Name

STREET

Business Name

SCOTT A STREET

Original Issue Date

08/13/1986

Expiration Date

08/13/1988

City

WINSTON SALEM

State

Zip

27104

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

09/04/2005