JACOB DALE HERBERGER Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004379

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

DALE

Last Name

HERBERGER

Business Name

JACOB DALE HERBERGER

Original Issue Date

11/15/2016

Effective Date

05/28/2020

Expiration Date

05/31/2022

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/27/2022