JAMES PAUL FREDERICKSON Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004620

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

PAUL

Last Name

FREDERICKSON

Business Name

JAMES PAUL FREDERICKSON

Original Issue Date

01/30/2018

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

MOUNT PLEASANT

State

Zip

53403

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021