DWAYNE PATRICK HAGENOW - Athletic Trainer License in Illinois | # 096003892

DWAYNE PATRICK HAGENOW

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003892

License Status

NOT RENEWED

Business

N

First Name

DWAYNE

Middle

PATRICK

Last Name

HAGENOW

Business Name

DWAYNE PATRICK HAGENOW

Original Issue Date

10/10/2014

Effective Date

10/10/2014

Expiration Date

05/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016