ANGELA T PERRILLES Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000738

License Status

INACTIVE

Business

First Name

ANGELA T

Last Name

PERRILLES

Business Name

ANGELA T PERRILLES

Original Issue Date

08/14/1995

Effective Date

08/02/2016

Expiration Date

05/31/2018

City

WEST PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

03/01/2018