NINA KRISTINE LOPEZ GANALON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020712

License Status

ACTIVE

Business

First Name

NINA KRISTINE

Middle

LOPEZ

Last Name

GANALON

Business Name

NINA KRISTINE LOPEZ GANALON

Original Issue Date

06/27/2014

Effective Date

07/04/2024

Expiration Date

09/30/2026

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/04/2024