ELISSA M DIESTELKAMP Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004748

License Status

ACTIVE

Business

First Name

ELISSA

Middle

Last Name

DIESTELKAMP

Business Name

ELISSA M DIESTELKAMP

Original Issue Date

09/18/2018

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

03/04/2026