TANIA KATHRINA MADDOX Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005815

License Status

ACTIVE

Business

First Name

TANIA KATHRINA

Last Name

MADDOX

Business Name

TANIA KATHRINA MADDOX

Original Issue Date

07/24/2024

Effective Date

07/24/2024

Expiration Date

05/31/2026

City

NORMAL

State

Zip

61761

Ever Disciplined

LastModifiedDate

03/04/2026