CARLI R NISSEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027456

License Status

ACTIVE

Business

First Name

CARLI

Middle

Last Name

NISSEN

Business Name

CARLI R NISSEN

Original Issue Date

05/19/2023

Effective Date

07/30/2024

Expiration Date

09/30/2026

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

07/30/2024