BECKY L NICKISH-VENUTI Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006182

License Status

INACTIVE

Business

First Name

BECKY

Middle

Last Name

NICKISH-VENUTI

Business Name

BECKY L NICKISH-VENUTI

Original Issue Date

09/11/2012

Effective Date

10/22/2021

Expiration Date

09/30/2023

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

08/15/2025