LAURA R MANGAN Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000440

License Status

INACTIVE

Business

First Name

LAURA R

Last Name

MANGAN

Business Name

LAURA R MANGAN

Original Issue Date

12/11/1991

Expiration Date

12/11/1993

City

SALT LAKE CITY

State

Zip

84152

County

UTAH

Ever Disciplined

LastModifiedDate

09/04/2005