ROGER A KALISIAK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000006

License Status

NOT RENEWED

Business

First Name

ROGER A

Last Name

KALISIAK

Business Name

ROGER A KALISIAK

Original Issue Date

05/05/1986

Effective Date

03/12/2018

Expiration Date

09/30/2020

City

HOFFMAN ESTATES

State

Zip

60192

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021