SAMANTHA ROSE WEBER Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003705

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

ROSE

Last Name

WEBER

Business Name

SAMANTHA ROSE WEBER

Original Issue Date

11/06/2013

Effective Date

05/02/2014

Expiration Date

05/31/2016

City

GREENFIELD

State

Zip

53228

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/11/2016