HEATH DAVID HANSEN - Athletic Trainer License in Indiana | # 096002179

HEATH DAVID HANSEN

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002179

License Status

NOT RENEWED

Business

N

First Name

HEATH

Middle

DAVID

Last Name

HANSEN

Business Name

HEATH DAVID HANSEN

Original Issue Date

08/16/2005

Effective Date

06/01/2006

Expiration Date

05/31/2008

State

IN

Ever Disciplined

N

LastModifiedDate

07/11/2008