SAMANTHA LEE FAULKNER Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004831

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

LEE

Last Name

FAULKNER

Business Name

SAMANTHA LEE FAULKNER

Original Issue Date

12/04/2018

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

03/06/2026