NICOLE ANNETTE ANTHONY - Physical Therapist License in Illinois | # 160005583

NICOLE ANNETTE ANTHONY

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005583

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

ANNETTE

Last Name

ANTHONY

Business Name

NICOLE ANNETTE ANTHONY

Original Issue Date

10/27/2010

Effective Date

07/29/2015

Expiration Date

09/30/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/01/2017