KATHLEEN MARIE WCISLO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002541

License Status

NOT RENEWED

Business

First Name

KATHLEEN MARIE

Last Name

WCISLO

Business Name

KATHLEEN MARIE WCISLO

Original Issue Date

12/30/1977

Effective Date

09/22/2020

Expiration Date

09/30/2022

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022