W EDWARD DIRKS - Athletic Trainer License in Illinois | # 096000074

W EDWARD DIRKS

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000074

License Status

INACTIVE

Business

N

First Name

W EDWARD

Last Name

DIRKS

Business Name

W EDWARD DIRKS

Original Issue Date

06/23/1986

Expiration Date

05/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/04/2005