STACIE NICHOLE GRIMSTAD WOODWORTH Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001400

License Status

ACTIVE

Business

First Name

STACIE NICHOLE

Middle

GRIMSTAD

Last Name

WOODWORTH

Business Name

STACIE NICHOLE GRIMSTAD WOODWORTH

Original Issue Date

09/08/2000

Effective Date

05/17/2024

Expiration Date

05/31/2026

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

03/04/2026