BLAKE EUGENE STELZRIEDE Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004275

License Status

ACTIVE

Business

First Name

BLAKE

Middle

EUGENE

Last Name

STELZRIEDE

Business Name

BLAKE EUGENE STELZRIEDE

Original Issue Date

07/28/2016

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

03/04/2026