BRIAN MARTIN BUSANICH - Athletic Trainer License in Illinois | # 096002165

BRIAN MARTIN BUSANICH

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002165

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

MARTIN

Last Name

BUSANICH

Business Name

BRIAN MARTIN BUSANICH

Original Issue Date

07/20/2005

Effective Date

06/01/2006

Expiration Date

05/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2008