JENNIFER S NICEWANNER - Physical Therapist License in Illinois | # 070008169

JENNIFER S NICEWANNER

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008169

License Status

INACTIVE

Business

N

First Name

JENNIFER S

Last Name

NICEWANNER

Business Name

JENNIFER S NICEWANNER

Original Issue Date

04/25/1994

Effective Date

09/17/2012

Expiration Date

09/30/2014

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2014