PAUL MICHAEL ZIEMBA - Athletic Trainer License in Illinois | # 096001937

PAUL MICHAEL ZIEMBA

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001937

License Status

NOT RENEWED

Business

N

First Name

PAUL

Middle

MICHAEL

Last Name

ZIEMBA

Business Name

PAUL MICHAEL ZIEMBA

Original Issue Date

05/19/2004

Effective Date

06/23/2020

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022