ALLISON C HICKENBOTH - Athletic Trainer License in Illinois | # 096001714

ALLISON C HICKENBOTH

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001714

License Status

NOT RENEWED

Business

N

First Name

ALLISON

Middle

C

Last Name

HICKENBOTH

Business Name

ALLISON C HICKENBOTH

Original Issue Date

10/08/2002

Effective Date

05/07/2004

Expiration Date

05/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

07/17/2006