EDWARD WILLIAM GRONKO Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001923

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

WILLIAM

Last Name

GRONKO

Business Name

EDWARD WILLIAM GRONKO

Original Issue Date

04/14/2004

Effective Date

04/14/2004

Expiration Date

05/31/2006

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/17/2006