ANNA F BLACKMAN Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003188

License Status

INACTIVE

Business

First Name

ANNA

Middle

Last Name

BLACKMAN

Business Name

ANNA F BLACKMAN

Original Issue Date

08/31/2011

Effective Date

05/30/2012

Expiration Date

05/31/2014

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/06/2014