NICHOLAS JOHN ALLEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013043

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

JOHN

Last Name

ALLEN

Business Name

NICHOLAS JOHN ALLEN

Original Issue Date

05/08/2002

Effective Date

09/17/2024

Expiration Date

09/30/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/17/2024