PHILIP MARK SLIWA Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004279

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

MARK

Last Name

SLIWA

Business Name

PHILIP MARK SLIWA

Original Issue Date

08/01/2016

Effective Date

05/19/2022

Expiration Date

05/31/2024

City

NEW LENOX

State

Zip

60451

County

COOK

Ever Disciplined

LastModifiedDate

07/21/2025