CHARLES TED EVANS Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003170

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

TED

Last Name

EVANS

Business Name

CHARLES TED EVANS

Original Issue Date

08/15/2011

Effective Date

05/07/2012

Expiration Date

05/31/2014

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/03/2014