BRIAN MARTIN BUSANICH Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002165

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

MARTIN

Last Name

BUSANICH

Business Name

BRIAN MARTIN BUSANICH

Original Issue Date

07/20/2005

Effective Date

06/01/2006

Expiration Date

05/31/2008

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2008