Indiana
Professional Licensing Agency
Jerry D. Ford
Athletic Trainer
License number
36001580A
Date granted
01/21/2009
Date expires
12/31/2014
Class
Athletic Trainer
Status
Active
Address
Fort Wayne IN 46835
indianalicensing.org
ID 1741424
LAST UPDATED 2024-04-02 01:40:25 UTC
LAST UPDATED 2024-04-02 01:40:25 UTC
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