IAN B PETERSEN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002559

License Status

NOT RENEWED

Business

First Name

IAN

Middle

Last Name

PETERSEN

Business Name

IAN B PETERSEN

Original Issue Date

11/08/2007

Effective Date

06/10/2020

Expiration Date

05/31/2022

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022