NICOLE ELLEN FOX Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017094

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

ELLEN

Last Name

FOX

Business Name

NICOLE ELLEN FOX

Original Issue Date

05/13/2009

Effective Date

09/11/2012

Expiration Date

09/30/2014

City

LAFAYETTE

State

Zip

80026

County

COLORADO

Ever Disciplined

LastModifiedDate

11/17/2014