T C BUNTING Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED PHYSICIAN

License Number

002020017-0002

License Status

NOT RENEWED

Business

First Name

T C

Last Name

BUNTING

Business Name

T C BUNTING

Original Issue Date

07/15/1975

Effective Date

07/15/1975

Expiration Date

07/15/1976

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

09/18/2006