2974 - Athletics Professional License in Illinois | # 002020174-0002

2974

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED PHYSICIAN

License Number

002020174-0002

License Status

NOT RENEWED

Business

N

Last Name

2974

Business Name

2974

Original Issue Date

01/14/1976

Effective Date

01/14/1976

Expiration Date

01/14/1977

State

IL

Ever Disciplined

N

LastModifiedDate

09/18/2006