M W NUGEN - Athletics Professional License in Illinois | # 002020157-0002

M W NUGEN

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED PHYSICIAN

License Number

002020157-0002

License Status

NOT RENEWED

Business

N

First Name

M W

Last Name

NUGEN

Business Name

M W NUGEN

Original Issue Date

02/18/1976

Effective Date

02/18/1976

Expiration Date

02/18/1977

State

IL

Ever Disciplined

N

LastModifiedDate

09/18/2006