MARK KUKLEWICZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005581

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

KUKLEWICZ

Business Name

MARK KUKLEWICZ

Original Issue Date

12/31/1988

Effective Date

09/03/2014

Expiration Date

09/30/2016

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

11/26/2016