DIANE BURNICKAS - Physical Therapist License in Illinois | # 160002555

DIANE BURNICKAS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002555

License Status

NOT RENEWED

Business

N

First Name

DIANE

Last Name

BURNICKAS

Business Name

DIANE BURNICKAS

Original Issue Date

11/06/1996

Effective Date

09/16/2015

Expiration Date

09/30/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/01/2017