MARIELLEN KATHERINE MARDIS Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004744

License Status

ACTIVE

Business

First Name

MARIELLEN

Middle

KATHERINE

Last Name

MARDIS

Business Name

MARIELLEN KATHERINE MARDIS

Original Issue Date

09/14/2018

Effective Date

03/14/2024

Expiration Date

05/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

03/04/2026