NATHAN DAVID JACK KENISTON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022218

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

DAVID JACK

Last Name

KENISTON

Business Name

NATHAN DAVID JACK KENISTON

Original Issue Date

07/06/2016

Effective Date

07/30/2018

Expiration Date

09/30/2020

City

SCHAUMBURG

State

Zip

60193

County

MICHIGAN

Ever Disciplined

LastModifiedDate

01/14/2021