BEN STANLEY STACHOWRAK - Athletic Trainer License in Illinois | # 096004473

BEN STANLEY STACHOWRAK

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004473

License Status

NOT RENEWED

Business

N

First Name

BEN

Middle

STANLEY

Last Name

STACHOWRAK

Business Name

BEN STANLEY STACHOWRAK

Original Issue Date

08/03/2017

Effective Date

08/03/2017

Expiration Date

05/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

07/19/2018