MIRIAM KATHLEEN STAKELY Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003146

License Status

INACTIVE

Business

First Name

MIRIAM

Middle

KATHLEEN

Last Name

STAKELY

Business Name

MIRIAM KATHLEEN STAKELY

Original Issue Date

07/26/2011

Effective Date

04/15/2016

Expiration Date

05/31/2018

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/01/2018