LOREN C SHIPLEY Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000097

License Status

INACTIVE

Business

First Name

LOREN C

Last Name

SHIPLEY

Business Name

LOREN C SHIPLEY

Original Issue Date

06/30/1986

Expiration Date

06/30/1990

City

NEWPORT

State

Zip

02841

County

RHODE ISLAND

Ever Disciplined

LastModifiedDate

09/04/2005