DIANE NICHOLS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002396

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

NICHOLS

Business Name

DIANE NICHOLS

Original Issue Date

05/24/1977

Effective Date

05/24/1977

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

06/13/2012