STEPHANIE N FORTON - Athletic Trainer License in Michigan | # 096004115

STEPHANIE N FORTON

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004115

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

N

Last Name

FORTON

Business Name

STEPHANIE N FORTON

Original Issue Date

09/09/2015

Effective Date

09/09/2015

Expiration Date

05/31/2016

State

MI

Ever Disciplined

N

LastModifiedDate

07/11/2016