BRUCE C TAIRA - Athletic Trainer License in Illinois | # 096000094

BRUCE C TAIRA

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000094

License Status

INACTIVE

Business

N

First Name

BRUCE C

Last Name

TAIRA

Business Name

BRUCE C TAIRA

Original Issue Date

06/30/1986

Effective Date

04/30/2012

Expiration Date

05/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

03/06/2014