MARY KUKLEWICZ - Physical Therapist License in Illinois | # 070006921

MARY KUKLEWICZ

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006921

License Status

NOT RENEWED

Business

N

First Name

MARY

Last Name

KUKLEWICZ

Business Name

MARY KUKLEWICZ

Original Issue Date

05/21/1992

Effective Date

09/03/2014

Expiration Date

09/30/2016

State

IL

Ever Disciplined

N

LastModifiedDate

11/26/2016