NICOLE J BREISCH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016968

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

BREISCH

Business Name

NICOLE J BREISCH

Original Issue Date

03/04/2009

Effective Date

09/10/2024

Expiration Date

09/30/2026

City

ITASCA

State

Zip

60143

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/10/2024