NICOLE T STAUDER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009010

License Status

ACTIVE

Business

First Name

NICOLE T

Last Name

STAUDER

Business Name

NICOLE T STAUDER

Original Issue Date

09/06/1995

Effective Date

09/16/2024

Expiration Date

09/30/2026

City

NOKOMIS

State

Zip

62075

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

09/16/2024