AMANDA N BOULWARE - Athletic Trainer License in Illinois | # 096004627

AMANDA N BOULWARE

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004627

License Status

ACTIVE

Business

N

First Name

AMANDA

Middle

N

Last Name

BOULWARE

Business Name

AMANDA N BOULWARE

Original Issue Date

02/09/2018

Effective Date

05/26/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/04/2026