BENJAMIN ALLEN LARSON Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003824

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

ALLEN

Last Name

LARSON

Business Name

BENJAMIN ALLEN LARSON

Original Issue Date

08/21/2014

Effective Date

03/16/2026

Expiration Date

05/31/2028

City

DAVENPORT

State

Zip

52806

Ever Disciplined

LastModifiedDate

03/16/2026