ALEXA L BLATT - Athletic Trainer License in Illinois | # 096004046

ALEXA L BLATT

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004046

License Status

NOT RENEWED

Business

N

First Name

ALEXA

Middle

L

Last Name

BLATT

Business Name

ALEXA L BLATT

Original Issue Date

08/13/2015

Effective Date

05/19/2016

Expiration Date

05/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

07/19/2018