JEFFREY PETER WALTER Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002817

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

PETER

Last Name

WALTER

Business Name

JEFFREY PETER WALTER

Original Issue Date

08/10/2009

Effective Date

06/02/2010

Expiration Date

05/31/2012

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/10/2012