MARY KUKLEWICZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006921

License Status

NOT RENEWED

Business

First Name

MARY

Last Name

KUKLEWICZ

Business Name

MARY KUKLEWICZ

Original Issue Date

05/21/1992

Effective Date

09/03/2014

Expiration Date

09/30/2016

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

11/26/2016