MARILYN S MOELICH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001308

License Status

NOT RENEWED

Business

First Name

MARILYN S

Last Name

MOELICH

Business Name

MARILYN S MOELICH

Original Issue Date

01/01/1998

Expiration Date

08/01/1982

City

MT. PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005