License holder summary

Mark R Icenogle is a Athletic Trainer licensed to practice in Georgia. The address on file for Mark R Icenogle is 4381 Beaverton Circle Loganville GA 30052. This licensed professional license is current. The license was granted 07/27/2005 and expired on 06/30/2016.

Georgia

Professional Licensing Board

Mark R Icenogle
Athletic Trainer
License number
AT001236
Date granted
07/27/2005
Date expires
06/30/2016
Class
Athletic Trainer
Status
Active
Address
4381 Beaverton Circle Loganville GA 30052
georgialicensing.com
ID 2498281
LAST UPDATED 2024-05-07 09:29:16 UTC

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