The holder whose full name is Takeuchi, Shigeru,come from Terre Haute IN,hold the Athletic Trainer license(NO.36001300A) which status is Expired.
| Name | Takeuchi, Shigeru |
|---|---|
| License Number | 36001300A |
| License Type | Athletic Trainer |
| License Status | Expired |
| City | Terre Haute |
| State | IN |