EDWARD WALTER KOZIOL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001835

License Status

NOT RENEWED

Business

First Name

EDWARD WALTER

Last Name

KOZIOL

Business Name

EDWARD WALTER KOZIOL

Original Issue Date

05/06/1974

Effective Date

05/06/1974

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005