HEATHER SUZANNE WALLACE Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001271

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

SUZANNE

Last Name

WALLACE

Business Name

HEATHER SUZANNE WALLACE

Original Issue Date

08/19/1999

Effective Date

05/29/2014

Expiration Date

05/31/2016

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

07/11/2016