JEFFREY A BURK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000491

License Status

NOT RENEWED

Business

First Name

JEFFREY A

Last Name

BURK

Business Name

JEFFREY A BURK

Original Issue Date

09/25/1992

Effective Date

03/10/2010

Expiration Date

05/31/2012

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/10/2012