NICOLE M ELLIS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003937

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

ELLIS

Business Name

NICOLE M ELLIS

Original Issue Date

10/23/2001

Effective Date

09/03/2025

Expiration Date

09/30/2027

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

09/03/2025