KELSEY A FORBORD Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005622

License Status

ACTIVE

Business

First Name

KELSEY

Middle

Last Name

FORBORD

Business Name

KELSEY A FORBORD

Original Issue Date

12/16/2022

Effective Date

04/24/2024

Expiration Date

05/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

03/04/2026