BEN STANLEY STACHOWRAK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004473

License Status

NOT RENEWED

Business

First Name

BEN

Middle

STANLEY

Last Name

STACHOWRAK

Business Name

BEN STANLEY STACHOWRAK

Original Issue Date

08/03/2017

Effective Date

08/03/2017

Expiration Date

05/31/2018

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/19/2018