BRENT IRVIN SMITH - Athletic Trainer License in Pennsylvania | # 096002341

BRENT IRVIN SMITH

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002341

License Status

NOT RENEWED

Business

N

First Name

BRENT

Middle

IRVIN

Last Name

SMITH

Business Name

BRENT IRVIN SMITH

Original Issue Date

08/14/2006

Effective Date

06/04/2018

Expiration Date

09/30/2020

State

PA

Ever Disciplined

N

LastModifiedDate

01/14/2021