STEPHANIE BRIANNA TICKS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005334

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

BRIANNA

Last Name

TICKS

Business Name

STEPHANIE BRIANNA TICKS

Original Issue Date

06/21/2021

Effective Date

06/21/2021

Expiration Date

05/31/2022

City

KIMBERLY

State

Zip

54136

Ever Disciplined

LastModifiedDate

07/27/2022