NICHOLAS J PETRONOVICH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024780

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

Last Name

PETRONOVICH

Business Name

NICHOLAS J PETRONOVICH

Original Issue Date

09/28/2019

Effective Date

09/19/2024

Expiration Date

09/30/2026

City

OCONOMOWOC

State

Zip

53066

Ever Disciplined

LastModifiedDate

09/19/2024