WILLARD I AGNEW Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002014

License Status

INACTIVE

Business

First Name

WILLARD

Middle

Last Name

AGNEW

Business Name

WILLARD I AGNEW

Original Issue Date

11/03/2004

Effective Date

06/01/2006

Expiration Date

05/31/2008

City

SOUTH BEND

State

Zip

46637

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/07/2008