ELIZABETH THESESE DE VIVO Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002641

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

THESESE

Last Name

DE VIVO

Business Name

ELIZABETH THESESE DE VIVO

Original Issue Date

08/08/2008

Effective Date

04/11/2024

Expiration Date

05/31/2026

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

03/04/2026