MARK T ANDERSON Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000285

License Status

INACTIVE

Business

First Name

MARK T

Last Name

ANDERSON

Business Name

MARK T ANDERSON

Original Issue Date

03/07/1989

Effective Date

03/29/2002

Expiration Date

05/31/2002

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

09/11/2005