JEREMY JAMES LARVA Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004443

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

JAMES

Last Name

LARVA

Business Name

JEREMY JAMES LARVA

Original Issue Date

05/11/2017

Effective Date

05/11/2017

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018