MELISSA A BRUNGARD - Athletic Trainer License in Illinois | # 096003095

MELISSA A BRUNGARD

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003095

License Status

NOT RENEWED

Business

N

First Name

MELISSA

Middle

A

Last Name

BRUNGARD

Business Name

MELISSA A BRUNGARD

Original Issue Date

04/06/2011

Effective Date

03/14/2014

Expiration Date

05/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016