JAMIE ANN WAGNER Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001566

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

ANN

Last Name

WAGNER

Business Name

JAMIE ANN WAGNER

Original Issue Date

10/25/2001

Effective Date

08/21/2020

Expiration Date

05/31/2022

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

07/27/2022