ELAINE KENNICOTT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001505

License Status

NOT RENEWED

Business

First Name

ELAINE

Last Name

KENNICOTT

Business Name

ELAINE KENNICOTT

Original Issue Date

01/01/1998

Expiration Date

09/30/1986

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

10/14/2005