FRANK BRENNER Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED PHYSICIAN

License Number

002020167-0002

License Status

NOT RENEWED

Business

First Name

FRANK

Last Name

BRENNER

Business Name

FRANK BRENNER

Original Issue Date

08/18/1976

Effective Date

08/18/1976

Expiration Date

08/18/1977

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

09/18/2006