NICHOLAS ERICH CROSBY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015365

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

ERICH

Last Name

CROSBY

Business Name

NICHOLAS ERICH CROSBY

Original Issue Date

10/10/2006

Effective Date

09/06/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021