SUZANNE M NICKELS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001426

License Status

NOT RENEWED

Business

First Name

SUZANNE M

Last Name

NICKELS

Business Name

SUZANNE M NICKELS

Original Issue Date

02/18/1992

Effective Date

02/18/1992

Expiration Date

09/30/2005

City

ST LOUIS

State

Zip

63129

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005