BROOKE DANIELLE BACHTOLD Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004675

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

DANIELLE

Last Name

BACHTOLD

Business Name

BROOKE DANIELLE BACHTOLD

Original Issue Date

07/10/2018

Effective Date

04/14/2020

Expiration Date

05/31/2022

City

FAIRBURY

State

Zip

61739

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

07/27/2022