KIRSTEN JUNE FREDERICK FUMAGALLI - Athletic Trainer License in Illinois | # 096002223

KIRSTEN JUNE FREDERICK FUMAGALLI

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002223

License Status

NOT RENEWED

Business

N

First Name

KIRSTEN JUNE

Middle

FREDERICK

Last Name

FUMAGALLI

Business Name

KIRSTEN JUNE FREDERICK FUMAGALLI

Original Issue Date

10/13/2005

Effective Date

05/19/2016

Expiration Date

05/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

07/19/2018