SIERRA NICOLE WITTENAUER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025083

License Status

ACTIVE

Business

First Name

SIERRA

Middle

NICOLE

Last Name

WITTENAUER

Business Name

SIERRA NICOLE WITTENAUER

Original Issue Date

05/06/2020

Effective Date

07/09/2024

Expiration Date

09/30/2026

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

07/09/2024