SAMANTHA BLAZEK - Athletic Trainer License in Illinois | # 096005691

SAMANTHA BLAZEK

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005691

License Status

ACTIVE

Business

N

First Name

SAMANTHA

Last Name

BLAZEK

Business Name

SAMANTHA BLAZEK

Original Issue Date

08/22/2023

Effective Date

05/24/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/04/2026