NICHOLAS R WALTERS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002105

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

WALTERS

Business Name

NICHOLAS R WALTERS

Original Issue Date

04/13/2005

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

07/10/2012