CAROL SUSANNE NICKELSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009087

License Status

NOT RENEWED

Business

First Name

CAROL SUSANNE

Last Name

NICKELSON

Business Name

CAROL SUSANNE NICKELSON

Original Issue Date

09/16/1995

Effective Date

09/16/1995

Expiration Date

09/30/1996

City

DUBUQUE

State

Zip

52002

County

IOWA

Ever Disciplined

LastModifiedDate

10/14/2005