HENRY T BREAM III Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000754

License Status

NOT RENEWED

Business

First Name

HENRY T

Last Name

BREAM III

Business Name

HENRY T BREAM III

Original Issue Date

08/15/1995

Effective Date

03/17/2010

Expiration Date

05/31/2012

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

07/10/2012