NICOLE C BALDASSANO Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003288

License Status

INACTIVE

Business

First Name

NICOLE

Middle

Last Name

BALDASSANO

Business Name

NICOLE C BALDASSANO

Original Issue Date

01/20/1999

Effective Date

07/05/2007

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

07/09/2009