NICOLE M KENNEDY Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011322

License Status

INACTIVE

Business

First Name

NICOLE

Middle

Last Name

KENNEDY

Business Name

NICOLE M KENNEDY

Original Issue Date

05/17/1999

Effective Date

09/28/2012

Expiration Date

09/30/2014

City

LADY LAKE

State

Zip

32159

County

FLORIDA

Ever Disciplined

LastModifiedDate

07/03/2014