MATTHEW MARK JOHNSON - Athletic Trainer License in Illinois | # 096002089

MATTHEW MARK JOHNSON

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002089

License Status

NOT RENEWED

Business

N

First Name

MATTHEW

Middle

MARK

Last Name

JOHNSON

Business Name

MATTHEW MARK JOHNSON

Original Issue Date

03/22/2005

Effective Date

04/16/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021