JULIANNE G KISSICK - Physical Therapist License in Illinois | # 070001902

JULIANNE G KISSICK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001902

License Status

NOT RENEWED

Business

N

First Name

JULIANNE G

Last Name

KISSICK

Business Name

JULIANNE G KISSICK

Original Issue Date

11/15/1974

Effective Date

11/15/1974

Expiration Date

09/30/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005