ANNETTE DIANE DELAGE Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002385

License Status

ACTIVE

Business

First Name

ANNETTE

Middle

DIANE

Last Name

DELAGE

Business Name

ANNETTE DIANE DELAGE

Original Issue Date

10/02/2006

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

RICHMOND

State

Zip

40475

Ever Disciplined

LastModifiedDate

03/04/2026