HEATHER SUZANNE WALLACE - Athletic Trainer License in Illinois | # 096001271

HEATHER SUZANNE WALLACE

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001271

License Status

NOT RENEWED

Business

N

First Name

HEATHER

Middle

SUZANNE

Last Name

WALLACE

Business Name

HEATHER SUZANNE WALLACE

Original Issue Date

08/19/1999

Effective Date

05/29/2014

Expiration Date

05/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016