NICOLE E MANDLI Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017304

License Status

INACTIVE

Business

First Name

NICOLE

Middle

Last Name

MANDLI

Business Name

NICOLE E MANDLI

Original Issue Date

08/06/2009

Effective Date

07/12/2010

Expiration Date

09/30/2012

City

GREENDALE

State

Zip

53129

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/05/2012