BENJAMIN BLACK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002214

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Last Name

BLACK

Business Name

BENJAMIN BLACK

Original Issue Date

09/28/2005

Effective Date

05/27/2008

Expiration Date

05/31/2010

City

LEMONT

State

Zip

60439

County

COOK

Ever Disciplined

LastModifiedDate

08/11/2010