NANCY MARIE JOHNSON Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001601

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

MARIE

Last Name

JOHNSON

Business Name

NANCY MARIE JOHNSON

Original Issue Date

02/05/2002

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

HARRISBURG

State

Zip

57032

County

SOUTH DAKOTA

Ever Disciplined

LastModifiedDate

09/11/2005