JAY P ANDERSON Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000601

License Status

INACTIVE

Business

First Name

JAY P

Last Name

ANDERSON

Business Name

JAY P ANDERSON

Original Issue Date

12/11/1993

Effective Date

05/23/2008

Expiration Date

05/31/2010

City

JACKSON

State

Zip

53037

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/05/2010