NICOLENE DIANE PHILLIPS JOHNSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013631

License Status

ACTIVE

Business

First Name

NICOLENE

Middle

DIANE

Last Name

PHILLIPS JOHNSON

Business Name

NICOLENE DIANE PHILLIPS JOHNSON

Original Issue Date

09/10/2003

Effective Date

09/12/2024

Expiration Date

09/30/2026

City

ELGIN

State

Zip

60124

County

KANE

Ever Disciplined

LastModifiedDate

09/12/2024