REBECCA ANNE WILDERMUTH - Athletic Trainer License in Illinois | # 096002365

REBECCA ANNE WILDERMUTH

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002365

License Status

NOT RENEWED

Business

N

First Name

REBECCA

Middle

ANNE

Last Name

WILDERMUTH

Business Name

REBECCA ANNE WILDERMUTH

Original Issue Date

09/06/2006

Effective Date

09/06/2006

Expiration Date

05/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2008