MICHAEL DEAN PETERSON - Athletic Trainer License in Illinois | # 096002411

MICHAEL DEAN PETERSON

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002411

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

DEAN

Last Name

PETERSON

Business Name

MICHAEL DEAN PETERSON

Original Issue Date

12/11/2006

Effective Date

04/11/2012

Expiration Date

05/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2014