HEIDI BETH SMITH - Athletic Trainer License in Indiana | # 096001210

HEIDI BETH SMITH

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001210

License Status

NOT RENEWED

Business

N

First Name

HEIDI

Middle

BETH

Last Name

SMITH

Business Name

HEIDI BETH SMITH

Original Issue Date

12/28/1998

Effective Date

07/17/2000

Expiration Date

05/31/2000

State

IN

Ever Disciplined

N

LastModifiedDate

09/11/2005