ANDREA LYNN BACULA - Physical Therapist License in Illinois | # 070010874

ANDREA LYNN BACULA

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010874

License Status

INACTIVE

Business

N

First Name

ANDREA

Middle

LYNN

Last Name

BACULA

Business Name

ANDREA LYNN BACULA

Original Issue Date

10/08/1998

Effective Date

11/06/2014

Expiration Date

09/30/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/06/2016