NICHOLAS ALLEN RETHERFORD Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096004568

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

ALLEN

Last Name

RETHERFORD

Business Name

NICHOLAS ALLEN RETHERFORD

Original Issue Date

11/03/2017

Effective Date

10/01/2020

Expiration Date

05/31/2022

City

GIBSON CITY

State

Zip

60936

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/27/2022