NICOLE LYNN GREENE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017696

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

LYNN

Last Name

GREENE

Business Name

NICOLE LYNN GREENE

Original Issue Date

03/12/2010

Effective Date

09/29/2016

Expiration Date

09/30/2018

City

LODI

State

Zip

53555

County

MCHENRY

Ever Disciplined

LastModifiedDate

12/05/2018