JACOB BRADLEY WASHKOWIAK - Athletic Trainer License in Illinois | # 096004607

JACOB BRADLEY WASHKOWIAK

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004607

License Status

NOT RENEWED

Business

N

First Name

JACOB

Middle

BRADLEY

Last Name

WASHKOWIAK

Business Name

JACOB BRADLEY WASHKOWIAK

Original Issue Date

01/08/2018

Effective Date

09/29/2020

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022