KYNLEIGH MARIE BLAKE Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005977

License Status

ACTIVE

Business

First Name

KYNLEIGH

Middle

MARIE

Last Name

BLAKE

Business Name

KYNLEIGH MARIE BLAKE

Original Issue Date

08/28/2025

Effective Date

08/28/2025

Expiration Date

05/31/2026

City

MT ZION

State

Zip

62549

County

MACON

Ever Disciplined

LastModifiedDate

03/04/2026