NIKKI L GRIESHABER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004118

License Status

NOT RENEWED

Business

First Name

NIKKI

Middle

Last Name

GRIESHABER

Business Name

NIKKI L GRIESHABER

Original Issue Date

11/14/2002

Effective Date

08/24/2009

Expiration Date

09/30/2011

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

11/04/2011