NICHOLAS L MEDEMA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022366

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

Last Name

MEDEMA

Business Name

NICHOLAS L MEDEMA

Original Issue Date

08/11/2016

Effective Date

07/24/2024

Expiration Date

09/30/2026

City

OGLESBY

State

Zip

61348

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/24/2024