JENNIFER S NICEWANNER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008169

License Status

INACTIVE

Business

First Name

JENNIFER S

Last Name

NICEWANNER

Business Name

JENNIFER S NICEWANNER

Original Issue Date

04/25/1994

Effective Date

09/17/2012

Expiration Date

09/30/2014

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

07/03/2014