KELLY E DANIELAK Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005308

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

DANIELAK

Business Name

KELLY E DANIELAK

Original Issue Date

04/15/2021

Effective Date

03/14/2026

Expiration Date

05/31/2028

City

SKOKIE

State

Zip

60077

Ever Disciplined

LastModifiedDate

03/14/2026