EDWARD WALTER KOZIOL - Physical Therapist License in Illinois | # 070001835

EDWARD WALTER KOZIOL

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001835

License Status

NOT RENEWED

Business

N

First Name

EDWARD WALTER

Last Name

KOZIOL

Business Name

EDWARD WALTER KOZIOL

Original Issue Date

05/06/1974

Effective Date

05/06/1974

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005