DEREK MICHAEL NEWGENT - Athletic Trainer License in Illinois | # 096004917

DEREK MICHAEL NEWGENT

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004917

License Status

NOT RENEWED

Business

N

First Name

DEREK

Middle

MICHAEL

Last Name

NEWGENT

Business Name

DEREK MICHAEL NEWGENT

Original Issue Date

05/16/2019

Effective Date

05/31/2022

Expiration Date

05/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

07/21/2025