LARISSA MARIE WIDDIS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004439

License Status

NOT RENEWED

Business

First Name

LARISSA

Middle

MARIE

Last Name

WIDDIS

Business Name

LARISSA MARIE WIDDIS

Original Issue Date

05/03/2017

Effective Date

09/23/2020

Expiration Date

05/31/2022

City

CARY

State

Zip

60013

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/27/2022