REBECCA ANNE WILDERMUTH Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002365

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

ANNE

Last Name

WILDERMUTH

Business Name

REBECCA ANNE WILDERMUTH

Original Issue Date

09/06/2006

Effective Date

09/06/2006

Expiration Date

05/31/2008

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/11/2008