BENJAMIN BLACK - Athletic Trainer License in Illinois | # 096002214

BENJAMIN BLACK

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002214

License Status

NOT RENEWED

Business

N

First Name

BENJAMIN

Last Name

BLACK

Business Name

BENJAMIN BLACK

Original Issue Date

09/28/2005

Effective Date

05/27/2008

Expiration Date

05/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

08/11/2010