GENE ROBERT NIEC Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005321

License Status

NOT RENEWED

Business

First Name

GENE

Middle

ROBERT

Last Name

NIEC

Business Name

GENE ROBERT NIEC

Original Issue Date

10/21/2009

Effective Date

08/23/2013

Expiration Date

09/30/2015

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/03/2015