JEFFREY M GRYGIEL Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000930

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

GRYGIEL

Business Name

JEFFREY M GRYGIEL

Original Issue Date

11/19/1996

Expiration Date

05/31/1998

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/04/2005