NICHOLAS WASILKOFF Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001328

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Last Name

WASILKOFF

Business Name

NICHOLAS WASILKOFF

Original Issue Date

01/01/1998

City

MANITOWOC

State

Zip

54220

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005