RANDY ALLAN BALLARD Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001564

License Status

ACTIVE

Business

First Name

RANDY

Middle

ALLAN

Last Name

BALLARD

Business Name

RANDY ALLAN BALLARD

Original Issue Date

10/23/2001

Effective Date

04/25/2024

Expiration Date

05/31/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/04/2026