DAMASO R NICODEMUS II Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009032

License Status

ACTIVE

Business

First Name

DAMASO R

Last Name

NICODEMUS II

Business Name

DAMASO R NICODEMUS II

Original Issue Date

09/07/1995

Effective Date

08/21/2024

Expiration Date

09/30/2026

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/21/2024