KATHERINE MAYA SIEDLAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006631

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

MAYA

Last Name

SIEDLAK

Business Name

KATHERINE MAYA SIEDLAK

Original Issue Date

09/24/1991

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006