NICOLE ELIZABETH DOMINGUEZ Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024952

License Status

ACTIVE

Business

First Name

NICOLE

Middle

ELIZABETH

Last Name

DOMINGUEZ

Business Name

NICOLE ELIZABETH DOMINGUEZ

Original Issue Date

02/11/2020

Effective Date

09/26/2024

Expiration Date

09/30/2026

City

TINLEY PARK

State

Zip

60487

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2024