SAMUEL A MCNICHOLS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010290

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

Last Name

MCNICHOLS

Business Name

SAMUEL A MCNICHOLS

Original Issue Date

11/03/2024

Effective Date

09/10/2025

Expiration Date

09/30/2027

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

09/10/2025