JACKSON MATTHEW FOWLER Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005998

License Status

ACTIVE

Business

First Name

JACKSON

Middle

MATTHEW

Last Name

FOWLER

Business Name

JACKSON MATTHEW FOWLER

Original Issue Date

11/12/2025

Effective Date

11/12/2025

Expiration Date

05/31/2026

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

03/04/2026