NICOLE E ETHRIDGE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009640

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

ETHRIDGE

Business Name

NICOLE E ETHRIDGE

Original Issue Date

09/22/2022

Effective Date

10/01/2023

Expiration Date

09/30/2025

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

12/30/2025