ADAM F KRUCKENBERG Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001521

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

KRUCKENBERG

Business Name

ADAM F KRUCKENBERG

Original Issue Date

08/06/2001

Effective Date

09/23/2011

Expiration Date

05/31/2010

City

SUGAR GROVE

State

Zip

60554

County

KANE

Ever Disciplined

LastModifiedDate

03/08/2012