ERIKA L KIETZMAN Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005666

License Status

ACTIVE

Business

First Name

ERIKA

Middle

Last Name

KIETZMAN

Business Name

ERIKA L KIETZMAN

Original Issue Date

03/27/2023

Effective Date

03/22/2024

Expiration Date

05/31/2026

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/04/2026