LAWRENCE JASON MATA Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002295

License Status

NOT RENEWED

Business

First Name

LAWRENCE

Middle

JASON

Last Name

MATA

Business Name

LAWRENCE JASON MATA

Original Issue Date

05/30/2006

Effective Date

04/18/2016

Expiration Date

05/31/2018

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018