JULIANNE G KISSICK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001902

License Status

NOT RENEWED

Business

First Name

JULIANNE G

Last Name

KISSICK

Business Name

JULIANNE G KISSICK

Original Issue Date

11/15/1974

Effective Date

11/15/1974

Expiration Date

09/30/1986

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/14/2005