PAUL DEE NELSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004298

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

DEE

Last Name

NELSON

Business Name

PAUL DEE NELSON

Original Issue Date

05/28/2004

Effective Date

09/30/2005

Expiration Date

09/30/2007

City

BROOKPORT

State

Zip

62910

County

MASSAC

Ever Disciplined

LastModifiedDate

03/25/2008