JENNIFER L KUSAK Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002603

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

KUSAK

Business Name

JENNIFER L KUSAK

Original Issue Date

04/22/2008

Effective Date

05/29/2022

Expiration Date

05/31/2024

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/26/2024