NICOLE S BOLDA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008573

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

BOLDA

Business Name

NICOLE S BOLDA

Original Issue Date

01/18/1995

Effective Date

09/25/2008

Expiration Date

09/30/2010

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

11/08/2010