DWAYNE PATRICK HAGENOW Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003892

License Status

NOT RENEWED

Business

First Name

DWAYNE

Middle

PATRICK

Last Name

HAGENOW

Business Name

DWAYNE PATRICK HAGENOW

Original Issue Date

10/10/2014

Effective Date

10/10/2014

Expiration Date

05/31/2016

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

07/11/2016