ANDREW P LONG Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004962

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

LONG

Business Name

ANDREW P LONG

Original Issue Date

08/15/2019

Effective Date

07/07/2020

Expiration Date

05/31/2022

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/27/2022