NICOLE A BLACKOWICZ - Athletic Trainer License in Illinois | # 096003503

NICOLE A BLACKOWICZ

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003503

License Status

ACTIVE

Business

N

First Name

NICOLE

Middle

A

Last Name

BLACKOWICZ

Business Name

NICOLE A BLACKOWICZ

Original Issue Date

12/11/2012

Effective Date

04/23/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/04/2026