DOUGLAS P SPIWAK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000245

License Status

NOT RENEWED

Business

First Name

DOUGLAS P

Last Name

SPIWAK

Business Name

DOUGLAS P SPIWAK

Original Issue Date

12/19/1987

Effective Date

06/01/2006

Expiration Date

05/31/2008

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/11/2008