MICHAEL W CARBON Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002240

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

CARBON

Business Name

MICHAEL W CARBON

Original Issue Date

11/17/2005

Effective Date

08/25/2008

Expiration Date

05/31/2010

City

UNIVERSITY PLACE

State

Zip

98466

Ever Disciplined

LastModifiedDate

08/11/2010