NIA A GREEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008938

License Status

ACTIVE

Business

First Name

NIA

Middle

Last Name

GREEN

Business Name

NIA A GREEN

Original Issue Date

12/01/2021

Effective Date

09/02/2025

Expiration Date

09/30/2027

City

MATTTESON

State

Zip

60443

Ever Disciplined

LastModifiedDate

09/02/2025