JONATHAN ALEXANDER ROMAN Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004373

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

ALEXANDER

Last Name

ROMAN

Business Name

JONATHAN ALEXANDER ROMAN

Original Issue Date

11/03/2016

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/14/2021