NATHAN ANDREEW BLASIOLI Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005427

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

ANDREEW

Last Name

BLASIOLI

Business Name

NATHAN ANDREEW BLASIOLI

Original Issue Date

09/24/2021

Effective Date

09/24/2021

Expiration Date

05/31/2022

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

05/22/2025