KATHLEEN TOMCZYK BORN - Physical Therapist License in Wisconsin | # 160002249

KATHLEEN TOMCZYK BORN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002249

License Status

NOT RENEWED

Business

N

First Name

KATHLEEN

Middle

TOMCZYK

Last Name

BORN

Business Name

KATHLEEN TOMCZYK BORN

Original Issue Date

09/06/1995

Effective Date

09/06/1995

Expiration Date

09/30/2003

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005