NICOLE M MUSTRADI Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007095

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

MUSTRADI

Business Name

NICOLE M MUSTRADI

Original Issue Date

05/19/2015

Effective Date

09/21/2021

Expiration Date

09/30/2023

City

CROWN POINT

State

Zip

46307

County

LAKE

Ever Disciplined

LastModifiedDate

02/02/2024