JEREMY ADAM HOUTAKKER Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001843

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

ADAM

Last Name

HOUTAKKER

Business Name

JEREMY ADAM HOUTAKKER

Original Issue Date

10/21/2003

Effective Date

04/09/2004

Expiration Date

05/31/2006

City

GENOA CITY

State

Zip

53128

Ever Disciplined

LastModifiedDate

07/20/2007