RONALD W WAGNER - Athletic Trainer License in Illinois | # 096001857

RONALD W WAGNER

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001857

License Status

NOT RENEWED

Business

N

First Name

RONALD

Middle

W

Last Name

WAGNER

Business Name

RONALD W WAGNER

Original Issue Date

11/26/2003

Effective Date

09/20/2004

Expiration Date

05/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

07/17/2006