AGNIESZKA DOLEGLO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010108

License Status

NOT RENEWED

Business

First Name

AGNIESZKA

Last Name

DOLEGLO

Business Name

AGNIESZKA DOLEGLO

Original Issue Date

05/03/1997

Effective Date

05/03/1997

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005