NICOLE M KIRKMAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003652

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

KIRKMAN

Business Name

NICOLE M KIRKMAN

Original Issue Date

08/29/2000

Effective Date

08/15/2025

Expiration Date

09/30/2027

City

VILLA GROVE

State

Zip

61956

County

DOUGLAS

Ever Disciplined

LastModifiedDate

08/15/2025