ZACH THOMAS LACROSS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003415

License Status

NOT RENEWED

Business

First Name

ZACH

Middle

THOMAS

Last Name

LACROSS

Business Name

ZACH THOMAS LACROSS

Original Issue Date

08/27/2012

Effective Date

09/24/2014

Expiration Date

05/31/2016

City

STILLWATER

State

Zip

74075

County

JACKSON

Ever Disciplined

LastModifiedDate

07/11/2016