SCOTT WILLIAM WALLACE COLE Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002616

License Status

INACTIVE

Business

First Name

SCOTT WILLIAM

Middle

WALLACE

Last Name

COLE

Business Name

SCOTT WILLIAM WALLACE COLE

Original Issue Date

06/18/2008

Effective Date

03/18/2010

Expiration Date

05/31/2012

City

DE FOREST

State

Zip

53532

Ever Disciplined

LastModifiedDate

03/08/2012