NICOLE R COLLINS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009884

License Status

NOT RENEWED

Business

First Name

NICOLE R

Last Name

COLLINS

Business Name

NICOLE R COLLINS

Original Issue Date

12/24/1996

Effective Date

12/24/1996

Expiration Date

09/30/2002

City

CARMEL

State

Zip

46033

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005