SAMANTHA NICHOLE FALK - Athletic Trainer License in Illinois | # 096003686

SAMANTHA NICHOLE FALK

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003686

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

NICHOLE

Last Name

FALK

Business Name

SAMANTHA NICHOLE FALK

Original Issue Date

10/04/2013

Effective Date

04/02/2014

Expiration Date

05/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016