NICOLE S BOLDA - Physical Therapist License in Indiana | # 070008573

NICOLE S BOLDA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008573

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

S

Last Name

BOLDA

Business Name

NICOLE S BOLDA

Original Issue Date

01/18/1995

Effective Date

09/25/2008

Expiration Date

09/30/2010

State

IN

Ever Disciplined

N

LastModifiedDate

11/08/2010