MICHELLE ELENA FASANO Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004795

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

ELENA

Last Name

FASANO

Business Name

MICHELLE ELENA FASANO

Original Issue Date

10/16/2018

Effective Date

11/14/2024

Expiration Date

05/31/2026

City

CLARKSVILLE

State

Zip

37042

Ever Disciplined

LastModifiedDate

03/04/2026