MARISA CASTANEDA MANZELLA Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004154

License Status

ACTIVE

Business

First Name

MARISA

Middle

CASTANEDA

Last Name

MANZELLA

Business Name

MARISA CASTANEDA MANZELLA

Original Issue Date

11/02/2015

Effective Date

03/01/2024

Expiration Date

05/31/2026

City

NEW LENOX

State

Zip

60451

Ever Disciplined

LastModifiedDate

03/04/2026