NICOLAS A KRUCKENBURG - Athletic Trainer License in Illinois | # 096002038

NICOLAS A KRUCKENBURG

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002038

License Status

NOT RENEWED

Business

N

First Name

NICOLAS

Middle

A

Last Name

KRUCKENBURG

Business Name

NICOLAS A KRUCKENBURG

Original Issue Date

12/03/2004

Effective Date

04/07/2014

Expiration Date

05/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016