KELLY A PERILLO Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000654

License Status

INACTIVE

Business

First Name

KELLY A

Last Name

PERILLO

Business Name

KELLY A PERILLO

Original Issue Date

08/17/1994

Effective Date

04/27/2004

Expiration Date

05/31/2006

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/27/2006