TRACY A MIZE - Athletic Trainer License in Illinois | # 096000909

TRACY A MIZE

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000909

License Status

NOT RENEWED

Business

N

First Name

TRACY A

Last Name

MIZE

Business Name

TRACY A MIZE

Original Issue Date

10/03/1996

Effective Date

05/29/2012

Expiration Date

05/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2014