PHILLIP CLARK JACOBS - Athletic Trainer License in Illinois | # 096001032

PHILLIP CLARK JACOBS

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001032

License Status

NOT RENEWED

Business

N

First Name

PHILLIP CLARK

Last Name

JACOBS

Business Name

PHILLIP CLARK JACOBS

Original Issue Date

08/12/1997

Effective Date

06/01/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021