BROCK JONATHON BUGAJ Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004672

License Status

NOT RENEWED

Business

First Name

BROCK

Middle

JONATHON

Last Name

BUGAJ

Business Name

BROCK JONATHON BUGAJ

Original Issue Date

06/28/2018

Effective Date

06/28/2018

Expiration Date

09/30/2020

City

ROUND LAKE PARK

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021