TIMOTHY DESMOND MIZDRAK Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004715

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

DESMOND

Last Name

MIZDRAK

Business Name

TIMOTHY DESMOND MIZDRAK

Original Issue Date

08/30/2018

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

03/04/2026