EDWARD WILLIAM GRONKO - Athletic Trainer License in Illinois | # 096001923

EDWARD WILLIAM GRONKO

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001923

License Status

NOT RENEWED

Business

N

First Name

EDWARD

Middle

WILLIAM

Last Name

GRONKO

Business Name

EDWARD WILLIAM GRONKO

Original Issue Date

04/14/2004

Effective Date

04/14/2004

Expiration Date

05/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

07/17/2006