JENNIFER RAE WAGNER - Athletic Trainer License in Illinois | # 096002144

JENNIFER RAE WAGNER

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002144

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

RAE

Last Name

WAGNER

Business Name

JENNIFER RAE WAGNER

Original Issue Date

06/06/2005

Effective Date

06/01/2006

Expiration Date

05/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2008