BROCK JONATHON BUGAJ - Athletic Trainer License in Illinois | # 096004672

BROCK JONATHON BUGAJ

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004672

License Status

NOT RENEWED

Business

N

First Name

BROCK

Middle

JONATHON

Last Name

BUGAJ

Business Name

BROCK JONATHON BUGAJ

Original Issue Date

06/28/2018

Effective Date

06/28/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021