NICHOLAS R WINGO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004766

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

WINGO

Business Name

NICHOLAS R WINGO

Original Issue Date

04/23/2007

Effective Date

09/26/2017

Expiration Date

09/30/2019

City

SESSER

State

Zip

62884

County

FRANKLIN

Ever Disciplined

LastModifiedDate

01/13/2020