NICOLE D DIEDRICH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013314

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

DIEDRICH

Business Name

NICOLE D DIEDRICH

Original Issue Date

11/25/2002

Effective Date

09/23/2024

Expiration Date

09/30/2026

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/23/2024