NICHOLE D DEARBORN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003229

License Status

INACTIVE

Business

First Name

NICHOLE

Middle

Last Name

DEARBORN

Business Name

NICHOLE D DEARBORN

Original Issue Date

11/30/1998

Effective Date

08/28/2009

Expiration Date

09/30/2011

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/07/2011