MICHELLE A LAROSE - Athletic Trainer License in Illinois | # 096004127

MICHELLE A LAROSE

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004127

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

A

Last Name

LAROSE

Business Name

MICHELLE A LAROSE

Original Issue Date

09/21/2015

Effective Date

05/05/2020

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022