MICHAEL EDWARD PALM - Athletic Trainer License in Illinois | # 096001955

MICHAEL EDWARD PALM

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001955

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

EDWARD

Last Name

PALM

Business Name

MICHAEL EDWARD PALM

Original Issue Date

08/13/2004

Effective Date

06/23/2020

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022