TODD MICHAEL JACOB - Athletic Trainer License in Illinois | # 096001389

TODD MICHAEL JACOB

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001389

License Status

NOT RENEWED

Business

N

First Name

TODD

Middle

MICHAEL

Last Name

JACOB

Business Name

TODD MICHAEL JACOB

Original Issue Date

08/28/2000

Effective Date

06/01/2006

Expiration Date

05/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2008