BRIAN DAVID KOEHNE - Athletic Trainer License in Illinois | # 096001177

BRIAN DAVID KOEHNE

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001177

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

DAVID

Last Name

KOEHNE

Business Name

BRIAN DAVID KOEHNE

Original Issue Date

09/23/1998

Effective Date

06/16/2004

Expiration Date

05/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005