ANTHONY JOHN BOTHELL Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002450

License Status

INACTIVE

Business

First Name

ANTHONY

Middle

JOHN

Last Name

BOTHELL

Business Name

ANTHONY JOHN BOTHELL

Original Issue Date

05/29/2007

Effective Date

03/23/2010

Expiration Date

05/31/2012

City

MILFORD

State

Zip

45150

Ever Disciplined

LastModifiedDate

03/08/2012