KRYSTN DELEE NICKOLAUS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023070

License Status

NOT RENEWED

Business

First Name

KRYSTN

Middle

DELEE

Last Name

NICKOLAUS

Business Name

KRYSTN DELEE NICKOLAUS

Original Issue Date

08/11/2017

Effective Date

10/02/2018

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63104

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021