EDWARD J MACKIVITCH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001117

License Status

INACTIVE

Business

First Name

EDWARD J

Last Name

MACKIVITCH

Business Name

EDWARD J MACKIVITCH

Original Issue Date

01/01/1998

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2008