KATY TAAKE GAYFORD Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001698

License Status

ACTIVE

Business

First Name

KATY

Middle

TAAKE

Last Name

GAYFORD

Business Name

KATY TAAKE GAYFORD

Original Issue Date

09/24/2002

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

03/06/2026