TATUM NICHOLS DPT - Physical Therapist License in Illinois | # 070025835

TATUM NICHOLS DPT

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025835

License Status

ACTIVE

Business

N

Title

DPT

First Name

TATUM

Last Name

NICHOLS

Business Name

TATUM NICHOLS DPT

Original Issue Date

04/28/2021

Effective Date

09/20/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2024