ELISSA M DIESTELKAMP - Athletic Trainer License in Illinois | # 096004748

ELISSA M DIESTELKAMP

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004748

License Status

ACTIVE

Business

N

First Name

ELISSA

Middle

M

Last Name

DIESTELKAMP

Business Name

ELISSA M DIESTELKAMP

Original Issue Date

09/18/2018

Effective Date

05/15/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/04/2026