SARAH NICOLE MICICH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022696

License Status

ACTIVE

Business

First Name

SARAH

Middle

NICOLE

Last Name

MICICH

Business Name

SARAH NICOLE MICICH

Original Issue Date

11/01/2016

Effective Date

09/20/2024

Expiration Date

09/30/2026

City

SHILOH

State

Zip

62269

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2024