KATHLEEN MARIE BAZZELL Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003845

License Status

ACTIVE

Business

First Name

KATHLEEN

Middle

MARIE

Last Name

BAZZELL

Business Name

KATHLEEN MARIE BAZZELL

Original Issue Date

09/03/2014

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/04/2026