LESLIE J MITKOS III Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002508

License Status

NOT RENEWED

Business

First Name

LESLIE J

Last Name

MITKOS III

Business Name

LESLIE J MITKOS III

Original Issue Date

09/04/2007

Effective Date

05/07/2012

Expiration Date

05/31/2014

City

N TOPSAIL BEACH

State

Zip

28460

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

07/03/2014