LARISSA MARIE WIDDIS - Athletic Trainer License in Illinois | # 096004439

LARISSA MARIE WIDDIS

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004439

License Status

NOT RENEWED

Business

N

First Name

LARISSA

Middle

MARIE

Last Name

WIDDIS

Business Name

LARISSA MARIE WIDDIS

Original Issue Date

05/03/2017

Effective Date

09/23/2020

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022