MARK T ANDERSON - Athletic Trainer License in Illinois | # 096000285

MARK T ANDERSON

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000285

License Status

INACTIVE

Business

N

First Name

MARK T

Last Name

ANDERSON

Business Name

MARK T ANDERSON

Original Issue Date

03/07/1989

Effective Date

03/29/2002

Expiration Date

05/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005