LIESEL VON GONTARD NICHOLSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023287

License Status

ACTIVE

Business

First Name

LIESEL

Middle

VON GONTARD

Last Name

NICHOLSON

Business Name

LIESEL VON GONTARD NICHOLSON

Original Issue Date

08/30/2017

Effective Date

09/06/2024

Expiration Date

09/30/2026

City

ST. LOUIS

State

Zip

63105

Ever Disciplined

LastModifiedDate

09/06/2024