RICHARD WALDRON BRAINERD III Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004112

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

WALDRON

Last Name

BRAINERD

Suffix

III

Business Name

RICHARD WALDRON BRAINERD III

Original Issue Date

09/08/2015

Effective Date

05/10/2016

Expiration Date

05/31/2018

City

EAST NORTHPORT

State

Zip

11731

County

NEW YORK

Ever Disciplined

LastModifiedDate

07/19/2018