GARY E CLARK Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000078

License Status

INACTIVE

Business

First Name

GARY E

Last Name

CLARK

Business Name

GARY E CLARK

Original Issue Date

06/23/1986

Effective Date

05/19/2004

Expiration Date

05/31/2004

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005