CHRISTOPHER MICHAEL WALLACE Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003950

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

MICHAEL

Last Name

WALLACE

Business Name

CHRISTOPHER MICHAEL WALLACE

Original Issue Date

01/15/2015

Effective Date

05/30/2018

Expiration Date

09/30/2020

City

NAPERVILLE

State

Zip

60563

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021