ELAINE KENNICOTT - Physical Therapist License in Illinois | # 070001505

ELAINE KENNICOTT

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001505

License Status

NOT RENEWED

Business

N

First Name

ELAINE

Last Name

KENNICOTT

Business Name

ELAINE KENNICOTT

Original Issue Date

01/01/1998

Expiration Date

09/30/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005