JACOB WILLIAM TUCKER - Athletic Trainer License in Indiana | # 096002692

JACOB WILLIAM TUCKER

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002692

License Status

NOT RENEWED

Business

N

First Name

JACOB

Middle

WILLIAM

Last Name

TUCKER

Business Name

JACOB WILLIAM TUCKER

Original Issue Date

09/24/2008

Effective Date

02/15/2019

Expiration Date

09/30/2020

State

IN

Ever Disciplined

N

LastModifiedDate

01/14/2021