TANNER PATRICK KRUMWIEDE Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004524

License Status

ACTIVE

Business

First Name

TANNER

Middle

PATRICK

Last Name

KRUMWIEDE

Business Name

TANNER PATRICK KRUMWIEDE

Original Issue Date

09/11/2017

Effective Date

06/18/2024

Expiration Date

05/31/2026

City

JERSEYVILLE

State

Zip

62052

Ever Disciplined

LastModifiedDate

03/04/2026