LEAH MARIE BRUECKNER Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001407

License Status

ACTIVE

Business

First Name

LEAH

Middle

MARIE

Last Name

BRUECKNER

Business Name

LEAH MARIE BRUECKNER

Original Issue Date

09/20/2000

Effective Date

04/26/2024

Expiration Date

05/31/2026

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

03/04/2026