GRACE ELAINE EDWARDS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004029

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

ELAINE

Last Name

EDWARDS

Business Name

GRACE ELAINE EDWARDS

Original Issue Date

08/11/2015

Effective Date

09/30/2020

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61114

County

OGLE

Ever Disciplined

LastModifiedDate

07/27/2022