NICOLETTE R DALLAS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028297

License Status

ACTIVE

Business

First Name

NICOLETTE

Middle

Last Name

DALLAS

Business Name

NICOLETTE R DALLAS

Original Issue Date

05/26/2024

Effective Date

08/05/2024

Expiration Date

09/30/2026

City

OKEMOS

State

Zip

48864

Ever Disciplined

LastModifiedDate

08/05/2024