NICOLE J VANDER WIELE - Physical Therapist License in Washington | # 070015873

NICOLE J VANDER WIELE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015873

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

J

Last Name

VANDER WIELE

Business Name

NICOLE J VANDER WIELE

BusinessDBA

BUURMA

Original Issue Date

08/10/2007

Effective Date

08/10/2007

Expiration Date

09/30/2008

State

WA

Ever Disciplined

N

LastModifiedDate

11/06/2008