NICOLE J VANDER WIELE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015873

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

VANDER WIELE

Business Name

NICOLE J VANDER WIELE

BusinessDBA

BUURMA

Original Issue Date

08/10/2007

Effective Date

08/10/2007

Expiration Date

09/30/2008

City

LYNDEN

State

Zip

98264

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

11/06/2008