NICHOLAS M FORMICA - Physical Therapist License in Illinois | # 160010305

NICHOLAS M FORMICA

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010305

License Status

ACTIVE

Business

N

First Name

NICHOLAS

Middle

M

Last Name

FORMICA

Business Name

NICHOLAS M FORMICA

Original Issue Date

11/04/2024

Effective Date

08/19/2025

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

08/19/2025