TYLER JAMES NICHOLS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008981

License Status

NOT RENEWED

Business

First Name

TYLER JAMES

Last Name

NICHOLS

Business Name

TYLER JAMES NICHOLS

Original Issue Date

09/06/1995

Effective Date

09/06/1995

Expiration Date

09/30/1998

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/14/2005