HEATHER N MADISON - Athletic Trainer License in Illinois | # 096003147

HEATHER N MADISON

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003147

License Status

NOT RENEWED

Business

N

First Name

HEATHER

Middle

N

Last Name

MADISON

Business Name

HEATHER N MADISON

Original Issue Date

07/28/2011

Effective Date

07/28/2011

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2012