TAKASHI KAWAHARA - Athletic Trainer License in Indiana | # 096002313

TAKASHI KAWAHARA

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002313

License Status

NOT RENEWED

Business

N

First Name

TAKASHI

Last Name

KAWAHARA

Business Name

TAKASHI KAWAHARA

Original Issue Date

07/14/2006

Effective Date

07/14/2006

Expiration Date

05/31/2008

State

IN

Ever Disciplined

N

LastModifiedDate

07/11/2008