JUSTIN M ULLOM - Athletic Trainer License in Missouri | # 096005036

JUSTIN M ULLOM

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005036

License Status

NOT RENEWED

Business

N

First Name

JUSTIN

Middle

M

Last Name

ULLOM

Business Name

JUSTIN M ULLOM

Original Issue Date

09/25/2019

Effective Date

09/25/2019

Expiration Date

09/30/2020

State

MO

Ever Disciplined

N

LastModifiedDate

01/14/2021