CHRISTOPHER KEITH HEITZ Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000904

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

KEITH

Last Name

HEITZ

Business Name

CHRISTOPHER KEITH HEITZ

Original Issue Date

09/23/1996

Effective Date

06/16/2004

Expiration Date

05/31/2004

City

PLANO

State

Zip

60545

County

KENDALL

Ever Disciplined

LastModifiedDate

09/11/2005