ADRIANA CRISTINA BLACK - Athletic Trainer License in Illinois | # 096003584

ADRIANA CRISTINA BLACK

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003584

License Status

NOT RENEWED

Business

N

First Name

ADRIANA

Middle

CRISTINA

Last Name

BLACK

Business Name

ADRIANA CRISTINA BLACK

Original Issue Date

08/13/2013

Effective Date

04/08/2014

Expiration Date

05/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016