LORI A KHAZEN - Athletic Trainer License in Missouri | # 096001417

LORI A KHAZEN

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001417

License Status

NOT RENEWED

Business

N

First Name

LORI

Middle

A

Last Name

KHAZEN

Business Name

LORI A KHAZEN

Original Issue Date

10/03/2000

Effective Date

06/01/2012

Expiration Date

05/31/2014

State

MO

Ever Disciplined

N

LastModifiedDate

07/03/2014