NICOLE ANNETTE ANTHONY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005583

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

ANNETTE

Last Name

ANTHONY

Business Name

NICOLE ANNETTE ANTHONY

Original Issue Date

10/27/2010

Effective Date

07/29/2015

Expiration Date

09/30/2017

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/01/2017