CYNTHIA STOLLER POLEK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003838

License Status

NOT RENEWED

Business

First Name

CYNTHIA STOLLER

Last Name

POLEK

Business Name

CYNTHIA STOLLER POLEK

Original Issue Date

11/10/1982

Effective Date

11/10/1982

Expiration Date

09/30/1994

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

10/14/2005