NICOLE JIMENEZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025010

License Status

NOT RENEWED

Business

First Name

NICOLE

Last Name

JIMENEZ

Business Name

NICOLE JIMENEZ

Original Issue Date

03/04/2020

Effective Date

09/02/2020

Expiration Date

09/30/2022

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/28/2022