JEFFREY KIYOSHI TANAKA Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002783

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

KIYOSHI

Last Name

TANAKA

Business Name

JEFFREY KIYOSHI TANAKA

Original Issue Date

06/16/2009

Effective Date

03/10/2026

Expiration Date

05/31/2028

City

EVANSTON

State

Zip

60208

County

COOK

Ever Disciplined

LastModifiedDate

03/10/2026