JENNIFER J NICHOLS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012626

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

NICHOLS

Business Name

JENNIFER J NICHOLS

Original Issue Date

09/06/2001

Effective Date

10/01/2018

Expiration Date

09/30/2020

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021