The holder whose full name is Soukup, Kelly Joseph,come from Bloomington IN,hold the Athletic Trainer license(NO.36000480A) which status is Expired.
| Name | Soukup, Kelly Joseph |
|---|---|
| License Number | 36000480A |
| License Type | Athletic Trainer |
| License Status | Expired |
| City | Bloomington |
| State | IN |