BRYCE T GOODALL Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005565

License Status

ACTIVE

Business

First Name

BRYCE

Middle

Last Name

GOODALL

Business Name

BRYCE T GOODALL

Original Issue Date

10/03/2022

Effective Date

05/31/2024

Expiration Date

05/31/2026

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/04/2026