DAVID PATRICK GROSSMAN - Athletic Trainer License in Illinois | # 096000983

DAVID PATRICK GROSSMAN

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000983

License Status

NOT RENEWED

Business

N

First Name

DAVID PATRICK

Last Name

GROSSMAN

Business Name

DAVID PATRICK GROSSMAN

Original Issue Date

04/04/1997

Effective Date

07/17/2000

Expiration Date

05/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005