CHRISTOPHER KEITH REAVIS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000853

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

KEITH

Last Name

REAVIS

Business Name

CHRISTOPHER KEITH REAVIS

Original Issue Date

05/01/1996

Effective Date

06/01/2016

Expiration Date

05/31/2018

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/19/2018