MALCOLM TAYLOR Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005528

License Status

ACTIVE

Business

First Name

MALCOLM

Last Name

TAYLOR

Business Name

MALCOLM TAYLOR

Original Issue Date

08/04/2022

Effective Date

05/31/2024

Expiration Date

05/31/2026

City

GIBSON CITY

State

Zip

60936

County

FORD

Ever Disciplined

LastModifiedDate

03/04/2026