CHRISTOPHER MICHAEL WALLACE - Athletic Trainer License in Illinois | # 096003950

CHRISTOPHER MICHAEL WALLACE

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003950

License Status

NOT RENEWED

Business

N

First Name

CHRISTOPHER

Middle

MICHAEL

Last Name

WALLACE

Business Name

CHRISTOPHER MICHAEL WALLACE

Original Issue Date

01/15/2015

Effective Date

05/30/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021