LIESEL VON GONTARD NICHOLSON - Physical Therapist License in Missouri | # 070023287

LIESEL VON GONTARD NICHOLSON

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023287

License Status

ACTIVE

Business

N

First Name

LIESEL

Middle

VON GONTARD

Last Name

NICHOLSON

Business Name

LIESEL VON GONTARD NICHOLSON

Original Issue Date

08/30/2017

Effective Date

09/06/2024

Expiration Date

09/30/2026

State

MO

Ever Disciplined

N

LastModifiedDate

09/06/2024