AUSTIN MICHAEL WAGNER Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004347

License Status

NOT RENEWED

Business

First Name

AUSTIN

Middle

MICHAEL

Last Name

WAGNER

Business Name

AUSTIN MICHAEL WAGNER

Original Issue Date

09/30/2016

Effective Date

09/30/2016

Expiration Date

05/31/2018

City

HILLSBORO

State

Zip

63050

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/19/2018