KATELIN VIRGINIA PROVOST Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004849

License Status

ACTIVE

Business

First Name

KATELIN

Middle

VIRGINIA

Last Name

PROVOST

Business Name

KATELIN VIRGINIA PROVOST

Original Issue Date

12/26/2018

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

03/04/2026