KIMBERLEY NICOLE LASLO - Physical Therapist License in Illinois | # 160003978

KIMBERLEY NICOLE LASLO

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003978

License Status

INACTIVE

Business

N

First Name

KIMBERLEY

Middle

NICOLE

Last Name

LASLO

Business Name

KIMBERLEY NICOLE LASLO

Original Issue Date

12/20/2001

Effective Date

09/30/2005

Expiration Date

09/30/2007

State

IL

Ever Disciplined

N

LastModifiedDate

07/05/2007