JUAN FABIEN BAEZ - Athletic Trainer License in Illinois | # 096005091

JUAN FABIEN BAEZ

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005091

License Status

NOT RENEWED

Business

N

First Name

JUAN

Middle

FABIEN

Last Name

BAEZ

Business Name

JUAN FABIEN BAEZ

Original Issue Date

12/03/2019

Effective Date

12/03/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021