NIKKI J BENNETT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006548

License Status

INACTIVE

Business

First Name

NIKKI

Middle

Last Name

BENNETT

Business Name

NIKKI J BENNETT

Original Issue Date

08/21/2013

Effective Date

09/04/2019

Expiration Date

12/31/2021

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/30/2021