MICHAEL L CZUBA Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001970

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

CZUBA

Business Name

MICHAEL L CZUBA

Original Issue Date

08/30/2004

Effective Date

04/23/2024

Expiration Date

05/31/2026

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

03/04/2026