TANNER J MAKSYMICZ - Athletic Trainer License in Indiana | # 096004259

TANNER J MAKSYMICZ

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004259

License Status

NOT RENEWED

Business

N

First Name

TANNER

Middle

J

Last Name

MAKSYMICZ

Business Name

TANNER J MAKSYMICZ

Original Issue Date

07/22/2016

Effective Date

07/22/2016

Expiration Date

05/31/2018

State

IN

Ever Disciplined

N

LastModifiedDate

07/19/2018