MARIELLEN KATHERINE MARDIS - Athletic Trainer License in Illinois | # 096004744

MARIELLEN KATHERINE MARDIS

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004744

License Status

ACTIVE

Business

N

First Name

MARIELLEN

Middle

KATHERINE

Last Name

MARDIS

Business Name

MARIELLEN KATHERINE MARDIS

Original Issue Date

09/14/2018

Effective Date

03/14/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/04/2026