JAKE JEROME WITTENAUER - Athletic Trainer License in Illinois | # 096003130

JAKE JEROME WITTENAUER

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003130

License Status

NOT RENEWED

Business

N

First Name

JAKE

Middle

JEROME

Last Name

WITTENAUER

Business Name

JAKE JEROME WITTENAUER

Original Issue Date

07/14/2011

Effective Date

07/14/2011

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2012