RAYMOND B KOWALCZYK - Physical Therapist License in Illinois | # 070004103

RAYMOND B KOWALCZYK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004103

License Status

NOT RENEWED

Business

N

First Name

RAYMOND B

Last Name

KOWALCZYK

Business Name

RAYMOND B KOWALCZYK

Original Issue Date

12/20/1983

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2006