PHILIP GEORGE FAZIO Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005657

License Status

ACTIVE

Business

First Name

PHILIP

Middle

GEORGE

Last Name

FAZIO

Business Name

PHILIP GEORGE FAZIO

Original Issue Date

02/28/2023

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/04/2026