ZACHARY JOSEPH WILDER DC Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004698

License Status

NOT RENEWED

Business

Title

First Name

ZACHARY

Middle

JOSEPH

Last Name

WILDER

Business Name

ZACHARY JOSEPH WILDER DC

Original Issue Date

08/21/2018

Effective Date

08/21/2018

Expiration Date

09/30/2020

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

01/14/2021