MIKE R BURGONI Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001353

License Status

NOT RENEWED

Business

First Name

MIKE

Middle

Last Name

BURGONI

Business Name

MIKE R BURGONI

Original Issue Date

04/13/2000

Effective Date

05/25/2010

Expiration Date

05/31/2012

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/10/2012