KEN T CASTILLO Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005926

License Status

ACTIVE

Business

First Name

KEN

Middle

Last Name

CASTILLO

Business Name

KEN T CASTILLO

Original Issue Date

03/04/2025

Effective Date

03/04/2025

Expiration Date

05/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

03/04/2026