MARIETTA D CUKINGNAN - Physical Therapist License in Illinois | # 070011939

MARIETTA D CUKINGNAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011939

License Status

NOT RENEWED

Business

N

First Name

MARIETTA

Middle

D

Last Name

CUKINGNAN

Business Name

MARIETTA D CUKINGNAN

Original Issue Date

05/12/2000

Effective Date

05/12/2000

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005