BRIAN KENNETH CZACHOWSKI Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001847

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

KENNETH

Last Name

CZACHOWSKI

Business Name

BRIAN KENNETH CZACHOWSKI

Original Issue Date

10/28/2003

Effective Date

06/10/2020

Expiration Date

05/31/2022

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/27/2022