ELLYN MARIE MORITZ Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003748

License Status

NOT RENEWED

Business

First Name

ELLYN

Middle

MARIE

Last Name

MORITZ

Business Name

ELLYN MARIE MORITZ

Original Issue Date

04/21/2014

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

HOMER GLEN

State

Zip

60491

County

WILL

Ever Disciplined

LastModifiedDate

01/14/2021