MICHAEL EDWARD PALM Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001955

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

EDWARD

Last Name

PALM

Business Name

MICHAEL EDWARD PALM

Original Issue Date

08/13/2004

Effective Date

06/23/2020

Expiration Date

05/31/2022

City

LA GRANGE HIGHLANDS

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022