JUAN FABIEN BAEZ Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005091

License Status

NOT RENEWED

Business

First Name

JUAN

Middle

FABIEN

Last Name

BAEZ

Business Name

JUAN FABIEN BAEZ

Original Issue Date

12/03/2019

Effective Date

12/03/2019

Expiration Date

09/30/2020

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021