NICOLE D SHORT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002618

License Status

ACTIVE

Business

First Name

NICOLE D

Last Name

SHORT

Business Name

NICOLE D SHORT

Original Issue Date

01/09/1997

Effective Date

09/23/2025

Expiration Date

09/30/2027

City

MATTOON

State

Zip

61938

Ever Disciplined

LastModifiedDate

09/23/2025