GRACE PONGNEA GORMAN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005739

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

PONGNEA

Last Name

GORMAN

Business Name

GRACE PONGNEA GORMAN

Original Issue Date

01/02/2024

Effective Date

01/02/2024

Expiration Date

05/31/2024

City

NATALIA

State

Zip

78059

Ever Disciplined

LastModifiedDate

07/21/2025