AMY A ELLSWORTH - Athletic Trainer License in Illinois | # 096000642

AMY A ELLSWORTH

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000642

License Status

INACTIVE

Business

N

First Name

AMY A

Last Name

ELLSWORTH

Business Name

AMY A ELLSWORTH

Original Issue Date

08/16/1994

Effective Date

04/20/2000

Expiration Date

05/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005