NICHOLE R EKSTROM Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021078

License Status

ACTIVE

Business

First Name

NICHOLE

Middle

Last Name

EKSTROM

Business Name

NICHOLE R EKSTROM

Original Issue Date

09/08/2014

Effective Date

08/26/2024

Expiration Date

09/30/2026

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

08/26/2024