NICHOLAS FENN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007988

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Last Name

FENN

Business Name

NICHOLAS FENN

Original Issue Date

01/22/1994

Effective Date

01/22/1994

Expiration Date

09/30/2004

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005