MARISSA JAE BASAR - Athletic Trainer License in Illinois | # 096004025

MARISSA JAE BASAR

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004025

License Status

NOT RENEWED

Business

N

First Name

MARISSA

Middle

JAE

Last Name

BASAR

Business Name

MARISSA JAE BASAR

Original Issue Date

08/10/2015

Effective Date

04/22/2016

Expiration Date

05/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

07/19/2018