NICOLE V LIWANAG Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025955

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

LIWANAG

Business Name

NICOLE V LIWANAG

Original Issue Date

06/10/2021

Effective Date

09/13/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60630

Ever Disciplined

LastModifiedDate

09/13/2024