NICHOLAS R FANCHER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009990

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

FANCHER

Business Name

NICHOLAS R FANCHER

Original Issue Date

10/20/2023

Effective Date

10/20/2023

Expiration Date

09/30/2025

City

DOWNERS GROVE

State

Zip

60516

Ever Disciplined

LastModifiedDate

12/30/2025