JAMES GERALD WALLENBERG Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004134

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

GERALD

Last Name

WALLENBERG

Business Name

JAMES GERALD WALLENBERG

Original Issue Date

10/05/2015

Effective Date

10/05/2015

Expiration Date

05/31/2016

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016