MADELINE NIEVES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004804

License Status

NOT RENEWED

Business

First Name

MADELINE

Last Name

NIEVES

Business Name

MADELINE NIEVES

Original Issue Date

06/12/1986

Effective Date

06/12/1986

Expiration Date

09/30/1988

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/14/2005