STACIE NICHOLE GRIMSTAD WOODWORTH - Athletic Trainer License in Illinois | # 096001400

STACIE NICHOLE GRIMSTAD WOODWORTH

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001400

License Status

ACTIVE

Business

N

First Name

STACIE NICHOLE

Middle

GRIMSTAD

Last Name

WOODWORTH

Business Name

STACIE NICHOLE GRIMSTAD WOODWORTH

Original Issue Date

09/08/2000

Effective Date

05/17/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/04/2026