MATHEW W LIVELY Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000255

License Status

NOT RENEWED

Business

First Name

MATHEW W

Last Name

LIVELY

Business Name

MATHEW W LIVELY

Original Issue Date

10/22/1988

Expiration Date

10/22/1990

City

OAK HILL

State

Zip

25901

County

WEST VIRGINIA

Ever Disciplined

LastModifiedDate

09/04/2005