CAROL M POKLACKI Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002019

License Status

NOT RENEWED

Business

First Name

CAROL M

Last Name

POKLACKI

Business Name

CAROL M POKLACKI

Original Issue Date

06/11/1975

Effective Date

06/11/1975

Expiration Date

09/30/2004

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005