SHANE RYAN CRUTCHFIELD - Athletic Trainer License in Illinois | # 096003588

SHANE RYAN CRUTCHFIELD

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003588

License Status

NOT RENEWED

Business

N

First Name

SHANE

Middle

RYAN

Last Name

CRUTCHFIELD

Business Name

SHANE RYAN CRUTCHFIELD

Original Issue Date

08/15/2013

Effective Date

05/29/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021