DONELL J COLLINS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000075

License Status

NOT RENEWED

Business

First Name

DONELL J

Last Name

COLLINS

Business Name

DONELL J COLLINS

Original Issue Date

06/23/1986

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

HANOVER PARK

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005