NICHOLAS FORESTA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028462

License Status

ACTIVE

Business

First Name

NICHOLAS

Last Name

FORESTA

Business Name

NICHOLAS FORESTA

Original Issue Date

08/16/2024

Effective Date

08/16/2024

Expiration Date

09/30/2026

City

PLAINFIELD

State

Zip

60586

Ever Disciplined

LastModifiedDate

08/16/2024