DANIEL EDWARD PUTLAK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003725

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

EDWARD

Last Name

PUTLAK

Business Name

DANIEL EDWARD PUTLAK

Original Issue Date

01/16/2014

Effective Date

04/11/2014

Expiration Date

05/31/2016

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016