HOLLY D WICKENHAUSER Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001891

License Status

ACTIVE

Business

First Name

HOLLY

Middle

Last Name

WICKENHAUSER

Business Name

HOLLY D WICKENHAUSER

Original Issue Date

02/18/2004

Effective Date

05/27/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/04/2026