KATHRYN M HERZOG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003329

License Status

NOT RENEWED

Business

First Name

KATHRYN M

Last Name

HERZOG

Business Name

KATHRYN M HERZOG

Original Issue Date

01/08/1981

Effective Date

08/03/2020

Expiration Date

09/30/2022

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022