MARY KOTLICK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002999

License Status

INACTIVE

Business

First Name

MARY

Last Name

KOTLICK

Business Name

MARY KOTLICK

Original Issue Date

11/20/1979

Effective Date

07/22/2010

Expiration Date

09/30/2012

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

07/05/2012