NICOLE CHIRSTINE DAVIS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005942

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

CHIRSTINE

Last Name

DAVIS

Business Name

NICOLE CHIRSTINE DAVIS

Original Issue Date

01/27/2012

Effective Date

09/02/2015

Expiration Date

09/30/2017

City

DAVENPORT

State

Zip

52806

County

IOWA

Ever Disciplined

LastModifiedDate

11/01/2017