SAMUEL LEE NIEDERGERKE Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005167

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

LEE

Last Name

NIEDERGERKE

Business Name

SAMUEL LEE NIEDERGERKE

Original Issue Date

07/08/2020

Effective Date

05/28/2024

Expiration Date

05/31/2026

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/04/2026