SAMANTHA KAY NILLES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022217

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

KAY

Last Name

NILLES

Business Name

SAMANTHA KAY NILLES

Original Issue Date

07/05/2016

Effective Date

09/15/2020

Expiration Date

09/30/2022

City

CHICAGO

State

Zip

60640

County

IOWA

Ever Disciplined

LastModifiedDate

11/28/2022