CHARLES ROBERT RUNSTROM Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096016081

License Status

ACTIVE

Business

First Name

CHARLES

Middle

ROBERT

Last Name

RUNSTROM

Business Name

CHARLES ROBERT RUNSTROM

Original Issue Date

07/29/2025

Effective Date

07/29/2025

Expiration Date

05/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/29/2025