SUSAN M NIETO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000363

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

NIETO

Business Name

SUSAN M NIETO

Original Issue Date

08/01/1991

Effective Date

10/02/2017

Expiration Date

09/30/2019

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/13/2020