DESIREE ANNE MUDD - Athletic Trainer License in Missouri | # 096002152

DESIREE ANNE MUDD

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002152

License Status

INACTIVE

Business

N

First Name

DESIREE

Middle

ANNE

Last Name

MUDD

Business Name

DESIREE ANNE MUDD

Original Issue Date

06/27/2005

Effective Date

05/14/2010

Expiration Date

05/31/2012

State

MO

Ever Disciplined

N

LastModifiedDate

03/08/2012