JACLYN CARRIE STUCKER Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004412

License Status

NOT RENEWED

Business

First Name

JACLYN

Middle

CARRIE

Last Name

STUCKER

Business Name

JACLYN CARRIE STUCKER

Original Issue Date

02/10/2017

Effective Date

03/12/2018

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021