PHILIP A KEITH Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000451

License Status

NOT RENEWED

Business

First Name

PHILIP A

Last Name

KEITH

Business Name

PHILIP A KEITH

Original Issue Date

12/11/1991

Expiration Date

05/31/1996

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

09/04/2005