AMANDA N BOULWARE Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004627

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

BOULWARE

Business Name

AMANDA N BOULWARE

Original Issue Date

02/09/2018

Effective Date

05/26/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

03/04/2026