PHILIP MARK SLIWA - Athletic Trainer License in Illinois | # 096004279

PHILIP MARK SLIWA

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004279

License Status

NOT RENEWED

Business

N

First Name

PHILIP

Middle

MARK

Last Name

SLIWA

Business Name

PHILIP MARK SLIWA

Original Issue Date

08/01/2016

Effective Date

05/19/2022

Expiration Date

05/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

07/21/2025