TIMOTHY MICHAEL MANGOLD - Athletic Trainer License in Iowa | # 096001974

TIMOTHY MICHAEL MANGOLD

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001974

License Status

NOT RENEWED

Business

N

First Name

TIMOTHY

Middle

MICHAEL

Last Name

MANGOLD

Business Name

TIMOTHY MICHAEL MANGOLD

Original Issue Date

09/08/2004

Effective Date

05/25/2010

Expiration Date

05/31/2012

State

IA

Ever Disciplined

N

LastModifiedDate

07/10/2012