NICOLE RENEE BURKETT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019591

License Status

ACTIVE

Business

First Name

NICOLE

Middle

RENEE

Last Name

BURKETT

Business Name

NICOLE RENEE BURKETT

Original Issue Date

11/15/2012

Effective Date

09/27/2024

Expiration Date

09/30/2026

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

09/27/2024