DAVID MICHAEL GROSSMAN - Athletic Trainer License in Illinois | # 096002005

DAVID MICHAEL GROSSMAN

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002005

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

MICHAEL

Last Name

GROSSMAN

Business Name

DAVID MICHAEL GROSSMAN

Original Issue Date

10/12/2004

Effective Date

10/12/2004

Expiration Date

05/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

07/17/2006