GRACE MARIE DIERENFIELD Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005450

License Status

ACTIVE

Business

First Name

GRACE

Middle

MARIE

Last Name

DIERENFIELD

Business Name

GRACE MARIE DIERENFIELD

Original Issue Date

11/04/2021

Effective Date

04/03/2024

Expiration Date

05/31/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

03/04/2026