GLENN J FICEK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002723

License Status

NOT RENEWED

Business

First Name

GLENN J

Last Name

FICEK

Business Name

GLENN J FICEK

Original Issue Date

11/27/1978

Effective Date

11/27/1978

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/14/2005