MICHAEL DAVID WADE - Athletic Trainer License in Illinois | # 096002118

MICHAEL DAVID WADE

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002118

License Status

INACTIVE

Business

N

First Name

MICHAEL

Middle

DAVID

Last Name

WADE

Business Name

MICHAEL DAVID WADE

Original Issue Date

04/27/2005

Effective Date

04/27/2005

Expiration Date

05/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

03/27/2006