MICAH LYNN ANN CLUTTER Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004238

License Status

ACTIVE

Business

First Name

MICAH

Middle

LYNN ANN

Last Name

CLUTTER

Business Name

MICAH LYNN ANN CLUTTER

Original Issue Date

07/13/2016

Effective Date

04/14/2024

Expiration Date

05/31/2026

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/04/2026