IAN B PETERSEN - Athletic Trainer License in Illinois | # 096002559

IAN B PETERSEN

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002559

License Status

NOT RENEWED

Business

N

First Name

IAN

Middle

B

Last Name

PETERSEN

Business Name

IAN B PETERSEN

Original Issue Date

11/08/2007

Effective Date

06/10/2020

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022