KIMBERLY M BLACKWELL - Athletic Trainer License in Illinois | # 096001981

KIMBERLY M BLACKWELL

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001981

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY

Middle

M

Last Name

BLACKWELL

Business Name

KIMBERLY M BLACKWELL

Original Issue Date

09/14/2004

Effective Date

05/23/2014

Expiration Date

05/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016