AMY KATHLEEN JACKSON - Athletic Trainer License in Indiana | # 096001381

AMY KATHLEEN JACKSON

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001381

License Status

NOT RENEWED

Business

N

First Name

AMY

Middle

KATHLEEN

Last Name

JACKSON

Business Name

AMY KATHLEEN JACKSON

Original Issue Date

07/27/2000

Effective Date

09/16/2020

Expiration Date

05/31/2022

State

IN

Ever Disciplined

N

LastModifiedDate

07/27/2022