GRAHAM ALAN POLAKOFF Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001577

License Status

NOT RENEWED

Business

First Name

GRAHAM

Middle

ALAN

Last Name

POLAKOFF

Business Name

GRAHAM ALAN POLAKOFF

Original Issue Date

11/08/2001

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005