JACOB BRADLEY WASHKOWIAK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004607

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

BRADLEY

Last Name

WASHKOWIAK

Business Name

JACOB BRADLEY WASHKOWIAK

Original Issue Date

01/08/2018

Effective Date

09/29/2020

Expiration Date

05/31/2022

City

LA SALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/27/2022