MARY E LEAFBLAD Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002306

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

LEAFBLAD

Business Name

MARY E LEAFBLAD

Original Issue Date

06/23/2006

Effective Date

05/30/2008

Expiration Date

05/31/2010

City

HEARTLAND

State

Zip

75126

Ever Disciplined

LastModifiedDate

08/11/2010