TODD G GOLDBECK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001373

License Status

NOT RENEWED

Business

First Name

TODD

Middle

Last Name

GOLDBECK

Business Name

TODD G GOLDBECK

Original Issue Date

07/05/2000

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

STOUGHTON

State

Zip

53589

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005