BRENT IRVIN SMITH Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002341

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

IRVIN

Last Name

SMITH

Business Name

BRENT IRVIN SMITH

Original Issue Date

08/14/2006

Effective Date

06/04/2018

Expiration Date

09/30/2020

City

PLEASANT GAP

State

Zip

16823

County

WILL

Ever Disciplined

LastModifiedDate

01/14/2021