NICKOLAS ROBERT GLASS DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026644

License Status

ACTIVE

Business

Title

DPT

First Name

NICKOLAS

Middle

ROBERT

Last Name

GLASS

Business Name

NICKOLAS ROBERT GLASS DPT

Original Issue Date

06/27/2022

Effective Date

08/13/2024

Expiration Date

09/30/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

08/13/2024