NICHOLAS W HAEFFELE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025700

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

HAEFFELE

Business Name

NICHOLAS W HAEFFELE

Original Issue Date

12/31/2020

Effective Date

12/31/2020

Expiration Date

09/30/2022

City

EAST PEORIA

State

Zip

61611

Ever Disciplined

LastModifiedDate

11/28/2022