JACQUELINE D LARSON - Athletic Trainer License in Illinois | # 096003099

JACQUELINE D LARSON

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003099

License Status

NOT RENEWED

Business

N

First Name

JACQUELINE

Middle

D

Last Name

LARSON

Business Name

JACQUELINE D LARSON

Original Issue Date

04/20/2011

Effective Date

03/08/2020

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022