SAMANTHA JO SHRUCK - Athletic Trainer License in Illinois | # 096004061

SAMANTHA JO SHRUCK

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004061

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

JO

Last Name

SHRUCK

Business Name

SAMANTHA JO SHRUCK

Original Issue Date

08/17/2015

Effective Date

03/28/2016

Expiration Date

05/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

07/19/2018