KELLY THERESE WAGNER Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003690

License Status

ACTIVE

Business

First Name

KELLY

Middle

THERESE

Last Name

WAGNER

Business Name

KELLY THERESE WAGNER

Original Issue Date

10/09/2013

Effective Date

03/26/2024

Expiration Date

05/31/2026

City

NAPERVILLE

State

Zip

60564

County

COOK

Ever Disciplined

LastModifiedDate

03/04/2026