JACOB WILLIAM BLASINGAME - Athletic Trainer License in Missouri | # 096003389

JACOB WILLIAM BLASINGAME

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003389

License Status

NOT RENEWED

Business

N

First Name

JACOB

Middle

WILLIAM

Last Name

BLASINGAME

Business Name

JACOB WILLIAM BLASINGAME

Original Issue Date

08/07/2012

Effective Date

04/08/2014

Expiration Date

05/31/2016

State

MO

Ever Disciplined

N

LastModifiedDate

07/11/2016