NICHOLAS R GRAGE Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005317

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

GRAGE

Business Name

NICHOLAS R GRAGE

Original Issue Date

05/07/2021

Effective Date

05/07/2021

Expiration Date

05/31/2022

City

JACKSONVILLE BEACH

State

Zip

32250

Ever Disciplined

LastModifiedDate

07/27/2022