BLAINE AARON KLOPOTEK - Athletic Trainer License in Illinois | # 096001820

BLAINE AARON KLOPOTEK

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001820

License Status

NOT RENEWED

Business

N

First Name

BLAINE

Middle

AARON

Last Name

KLOPOTEK

Business Name

BLAINE AARON KLOPOTEK

Original Issue Date

09/22/2003

Effective Date

05/27/2004

Expiration Date

05/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

07/17/2006