ADRIANA CRISTINA BLACK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003584

License Status

NOT RENEWED

Business

First Name

ADRIANA

Middle

CRISTINA

Last Name

BLACK

Business Name

ADRIANA CRISTINA BLACK

Original Issue Date

08/13/2013

Effective Date

04/08/2014

Expiration Date

05/31/2016

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/11/2016