PHILIP RAY NICKOLS Athletic Trainer License verification

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096003810

License Status

ACTIVE

Business

First Name

PHILIP

Middle

RAY

Last Name

NICKOLS

Business Name

PHILIP RAY NICKOLS

Original Issue Date

08/18/2014

Effective Date

05/01/2024

Expiration Date

05/31/2026

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/04/2026