BRIAN ALAN CZAJKA - Athletic Trainer License in Illinois | # 096001275

BRIAN ALAN CZAJKA

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001275

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

ALAN

Last Name

CZAJKA

Business Name

BRIAN ALAN CZAJKA

Original Issue Date

09/03/1999

Effective Date

06/16/2004

Expiration Date

05/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005