WALDEMAR J KLUKOWSKI Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009031

License Status

NOT RENEWED

Business

First Name

WALDEMAR J

Last Name

KLUKOWSKI

Business Name

WALDEMAR J KLUKOWSKI

Original Issue Date

09/07/1995

Effective Date

07/13/2016

Expiration Date

09/30/2018

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

12/05/2018