YURI MIZUOKA - Athletic Trainer License in Illinois | # 096000943

YURI MIZUOKA

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000943

License Status

NOT RENEWED

Business

N

First Name

YURI

Last Name

MIZUOKA

Business Name

YURI MIZUOKA

Original Issue Date

11/21/1996

Effective Date

07/17/2000

Expiration Date

05/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005