TADEUSZ STRZEMBOSZ Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED PHYSICIAN

License Number

002020156-0002

License Status

NOT RENEWED

Business

First Name

TADEUSZ

Last Name

STRZEMBOSZ

Business Name

TADEUSZ STRZEMBOSZ

Original Issue Date

07/02/1975

Effective Date

07/02/1975

Expiration Date

07/02/1976

City

HOOPESTON

State

Zip

60942

County

VERMILION

Ever Disciplined

LastModifiedDate

09/18/2006