NICKI L GILLFILLAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003775

License Status

INACTIVE

Business

First Name

NICKI

Middle

Last Name

GILLFILLAN

Business Name

NICKI L GILLFILLAN

Original Issue Date

12/14/2000

Effective Date

09/30/2015

Expiration Date

09/30/2017

City

EVANS

State

Zip

30809

County

GEORGIA

Ever Disciplined

LastModifiedDate

07/07/2017