AUTUMN NICOLE TAYLOR Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005126

License Status

ACTIVE

Business

First Name

AUTUMN

Middle

NICOLE

Last Name

TAYLOR

Business Name

AUTUMN NICOLE TAYLOR

Original Issue Date

02/25/2020

Effective Date

05/20/2024

Expiration Date

05/31/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/04/2026