LESLIE RUBEL FROST - Athletic Trainer License in Illinois | # 096002210

LESLIE RUBEL FROST

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002210

License Status

INACTIVE

Business

N

First Name

LESLIE

Middle

RUBEL

Last Name

FROST

Business Name

LESLIE RUBEL FROST

Original Issue Date

09/20/2005

Effective Date

06/01/2006

Expiration Date

05/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

03/07/2008