David Baza
ExpiredIllinois license 096005173
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 096005173
- Status
- Expired (Not Renewed)
- First issued
- July 24, 2020
- Expired
- May 31, 2022
- License holder
- David Baza
- Entity type
- Individual
Classifications
- Licensed Athletic Trainer Therapy & Rehabilitation
More from the license record
- Current term began
- 07/24/2020
Contact
Springfield, MO 65802