DOMINIQUE IDA BURGOS - Athletic Trainer License in Illinois | # 096004934

DOMINIQUE IDA BURGOS

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004934

License Status

ACTIVE

Business

N

First Name

DOMINIQUE

Middle

IDA

Last Name

BURGOS

Business Name

DOMINIQUE IDA BURGOS

Original Issue Date

08/05/2019

Effective Date

03/27/2026

Expiration Date

05/31/2028

State

IL

Ever Disciplined

N

LastModifiedDate

03/27/2026