MICHELLE T NOVAK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003270

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

NOVAK

Business Name

MICHELLE T NOVAK

Original Issue Date

11/16/2011

Effective Date

09/24/2020

Expiration Date

05/31/2022

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022