NICOLE KAREN NELSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011625

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

KAREN

Last Name

NELSON

Business Name

NICOLE KAREN NELSON

Original Issue Date

12/01/1999

Effective Date

12/01/1999

Expiration Date

09/30/2002

City

GRAFTON

State

Zip

53024

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005