NICOLE C BALDASSANO - Physical Therapist License in Illinois | # 160003288

NICOLE C BALDASSANO

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003288

License Status

INACTIVE

Business

N

First Name

NICOLE

Middle

C

Last Name

BALDASSANO

Business Name

NICOLE C BALDASSANO

Original Issue Date

01/20/1999

Effective Date

07/05/2007

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

07/09/2009