ENRIQUE BACON Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002119

License Status

ACTIVE

Business

First Name

ENRIQUE

Last Name

BACON

Business Name

ENRIQUE BACON

Original Issue Date

04/27/2005

Effective Date

06/05/2024

Expiration Date

05/31/2026

City

ISLAND LAKE

State

Zip

60042

County

LAKE

Ever Disciplined

LastModifiedDate

03/04/2026