ANTHONY JOHN BALTIERRA Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005075

License Status

ACTIVE

Business

First Name

ANTHONY

Middle

JOHN

Last Name

BALTIERRA

Business Name

ANTHONY JOHN BALTIERRA

Original Issue Date

11/12/2019

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

ORANGEVILLE

State

Zip

61060

Ever Disciplined

LastModifiedDate

03/05/2026