David M Nissenbaum
ExpiredIllinois license 096000837
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 096000837
- Status
- Expired (Not Renewed)
- First issued
- February 17, 1996
- Expired
- May 31, 1998
- License holder
- David M Nissenbaum
- Entity type
- Individual
Classifications
- Licensed Athletic Trainer Therapy & Rehabilitation
Contact
Carlinville, IL 62626
Macoupin County