DAVID M NISSENBAUM - Athletic Trainer License in Illinois | # 096000837

DAVID M NISSENBAUM

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000837

License Status

NOT RENEWED

Business

N

First Name

DAVID M

Last Name

NISSENBAUM

Business Name

DAVID M NISSENBAUM

Original Issue Date

02/17/1996

Expiration Date

05/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/04/2005