KELLY THERESE WAGNER - Athletic Trainer License in Illinois | # 096003690

KELLY THERESE WAGNER

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003690

License Status

ACTIVE

Business

N

First Name

KELLY

Middle

THERESE

Last Name

WAGNER

Business Name

KELLY THERESE WAGNER

Original Issue Date

10/09/2013

Effective Date

03/26/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/04/2026