JAMIE ANN WAGNER - Athletic Trainer License in Illinois | # 096001566

JAMIE ANN WAGNER

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001566

License Status

NOT RENEWED

Business

N

First Name

JAMIE

Middle

ANN

Last Name

WAGNER

Business Name

JAMIE ANN WAGNER

Original Issue Date

10/25/2001

Effective Date

08/21/2020

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022