SISTER BERNADINE KOZAK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000641

License Status

INACTIVE

Business

First Name

SISTER BERNADINE

Last Name

KOZAK

Business Name

SISTER BERNADINE KOZAK

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005