GARDNER C COUGHLEN - Athletic Trainer License in Illinois | # 096000828

GARDNER C COUGHLEN

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000828

License Status

NOT RENEWED

Business

N

First Name

GARDNER C

Last Name

COUGHLEN

Business Name

GARDNER C COUGHLEN

Original Issue Date

02/22/1996

Effective Date

06/03/2004

Expiration Date

05/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

07/17/2006