MATTHEW MARK JOHNSON Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002089

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

MARK

Last Name

JOHNSON

Business Name

MATTHEW MARK JOHNSON

Original Issue Date

03/22/2005

Effective Date

04/16/2018

Expiration Date

09/30/2020

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021