POLLYANA KATHLEEN JOHNSON - Athletic Trainer License in Illinois | # 096001392

POLLYANA KATHLEEN JOHNSON

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001392

License Status

INACTIVE

Business

N

First Name

POLLYANA

Middle

KATHLEEN

Last Name

JOHNSON

Business Name

POLLYANA KATHLEEN JOHNSON

Original Issue Date

08/30/2000

Effective Date

05/15/2002

Expiration Date

05/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005