GRACE MARIE DIERENFIELD - Athletic Trainer License in Illinois | # 096005450

GRACE MARIE DIERENFIELD

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005450

License Status

ACTIVE

Business

N

First Name

GRACE

Middle

MARIE

Last Name

DIERENFIELD

Business Name

GRACE MARIE DIERENFIELD

Original Issue Date

11/04/2021

Effective Date

04/03/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/04/2026