LUCAS BENJAMIN WILSON Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004202

License Status

NOT RENEWED

Business

First Name

LUCAS

Middle

BENJAMIN

Last Name

WILSON

Business Name

LUCAS BENJAMIN WILSON

Original Issue Date

03/25/2016

Effective Date

05/29/2018

Expiration Date

09/30/2020

City

PLATTEVILLE

State

Zip

53818

Ever Disciplined

LastModifiedDate

01/14/2021