RYAN T VAN AMERONGEN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002043

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

VAN AMERONGEN

Business Name

RYAN T VAN AMERONGEN

Original Issue Date

01/04/2005

Effective Date

01/06/2005

Expiration Date

05/31/2006

City

SEATTLE

State

Zip

98107

County

MACON

Ever Disciplined

LastModifiedDate

05/08/2007