NICHOLAS RYAN STARE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027810

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

RYAN

Last Name

STARE

Business Name

NICHOLAS RYAN STARE

Original Issue Date

09/22/2023

Effective Date

07/24/2024

Expiration Date

09/30/2026

City

GLENDALE HEIGHTS

State

Zip

60169

Ever Disciplined

LastModifiedDate

07/24/2024