CRYSTAL LOUISE GREEN Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003432

License Status

ACTIVE

Business

First Name

CRYSTAL

Middle

LOUISE

Last Name

GREEN

Business Name

CRYSTAL LOUISE GREEN

Original Issue Date

09/07/2012

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

03/18/2026