DANIEL EDWARD PUTLAK - Athletic Trainer License in Illinois | # 096003725

DANIEL EDWARD PUTLAK

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003725

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Middle

EDWARD

Last Name

PUTLAK

Business Name

DANIEL EDWARD PUTLAK

Original Issue Date

01/16/2014

Effective Date

04/11/2014

Expiration Date

05/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016