NICOLE J BREISCH - Physical Therapist License in Illinois | # 070016968

NICOLE J BREISCH

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016968

License Status

ACTIVE

Business

N

First Name

NICOLE

Middle

J

Last Name

BREISCH

Business Name

NICOLE J BREISCH

Original Issue Date

03/04/2009

Effective Date

09/10/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/10/2024