Mark D Ellsworth
InactiveIllinois license 096000939
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 096000939
- Status
- Inactive
- First issued
- November 19, 1996
- Expired
- May 31, 2000
- License holder
- Mark D Ellsworth
- Entity type
- Individual
Classifications
- Licensed Athletic Trainer Therapy & Rehabilitation
More from the license record
- Current term began
- 06/09/2000
Contact
Libertyville, IL 60048
Lake County