MICHAEL JOSEPH COLLINS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001322

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JOSEPH

Last Name

COLLINS

Business Name

MICHAEL JOSEPH COLLINS

Original Issue Date

01/21/2000

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005