LUCY BROADDUS - Athletic Trainer License in Missouri | # 096002855

LUCY BROADDUS

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002855

License Status

NOT RENEWED

Business

N

First Name

LUCY

Last Name

BROADDUS

Business Name

LUCY BROADDUS

Original Issue Date

10/09/2009

Effective Date

05/10/2012

Expiration Date

05/31/2014

State

MO

Ever Disciplined

N

LastModifiedDate

07/03/2014