ALEXA L BLATT Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004046

License Status

NOT RENEWED

Business

First Name

ALEXA

Middle

Last Name

BLATT

Business Name

ALEXA L BLATT

Original Issue Date

08/13/2015

Effective Date

05/19/2016

Expiration Date

05/31/2018

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/19/2018