Indiana
Professional Licensing Agency
Richard Dale Shiveley, Jr.
Athletic Trainer
License number
36000664A
Date granted
08/29/2000
Date expires
12/31/2006
Class
Athletic Trainer
Status
Expired
Address
Fort Wayne IN 46825
indianalicensing.org
ID 1741649
LAST UPDATED 2024-04-28 05:48:19 UTC
LAST UPDATED 2024-04-28 05:48:19 UTC
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