THOMAS EUGENE VANBUSKIRK Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004855

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

EUGENE

Last Name

VANBUSKIRK

Business Name

THOMAS EUGENE VANBUSKIRK

Original Issue Date

01/04/2019

Effective Date

09/10/2020

Expiration Date

05/31/2022

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022