BRENT PAUL DUBOIS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003451

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

PAUL

Last Name

DUBOIS

Business Name

BRENT PAUL DUBOIS

Original Issue Date

09/24/2012

Effective Date

09/24/2012

Expiration Date

05/31/2014

City

GREEN BAY

State

Zip

54302

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/03/2014