REGINA RENEE THEOBALD - Athletic Trainer License in Illinois | # 096002136

REGINA RENEE THEOBALD

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002136

License Status

NOT RENEWED

Business

N

First Name

REGINA

Middle

RENEE

Last Name

THEOBALD

Business Name

REGINA RENEE THEOBALD

Original Issue Date

05/24/2005

Effective Date

06/01/2006

Expiration Date

05/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2008