TIMOTHY ROBERT LADEWIG Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005760

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

ROBERT

Last Name

LADEWIG

Business Name

TIMOTHY ROBERT LADEWIG

Original Issue Date

01/16/2024

Effective Date

04/29/2024

Expiration Date

05/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

03/04/2026