SAMANTHA KAY NILLES - Physical Therapist License in Illinois | # 070022217

SAMANTHA KAY NILLES

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022217

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

KAY

Last Name

NILLES

Business Name

SAMANTHA KAY NILLES

Original Issue Date

07/05/2016

Effective Date

09/15/2020

Expiration Date

09/30/2022

State

IL

Ever Disciplined

N

LastModifiedDate

11/28/2022