PHILLIP CLARK JACOBS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001032

License Status

NOT RENEWED

Business

First Name

PHILLIP CLARK

Last Name

JACOBS

Business Name

PHILLIP CLARK JACOBS

Original Issue Date

08/12/1997

Effective Date

06/01/2018

Expiration Date

09/30/2020

City

HARVARD

State

Zip

60033

County

KANE

Ever Disciplined

LastModifiedDate

01/14/2021