NICOLE M BARAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009245

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

BARAK

Business Name

NICOLE M BARAK

Original Issue Date

05/05/2021

Effective Date

10/06/2021

Expiration Date

09/30/2023

City

HAMPSHIRE

State

Zip

60140

Ever Disciplined

LastModifiedDate

02/02/2024