LACEY J VITALE - Athletic Trainer License in Illinois | # 096002716

LACEY J VITALE

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002716

License Status

NOT RENEWED

Business

N

First Name

LACEY

Middle

J

Last Name

VITALE

Business Name

LACEY J VITALE

Original Issue Date

10/22/2008

Effective Date

05/16/2014

Expiration Date

05/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016