NICHOLAS R WALTERS - Athletic Trainer License in Illinois | # 096002105

NICHOLAS R WALTERS

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002105

License Status

NOT RENEWED

Business

N

First Name

NICHOLAS

Middle

R

Last Name

WALTERS

Business Name

NICHOLAS R WALTERS

Original Issue Date

04/13/2005

Effective Date

03/05/2010

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2012