ANDREA LYNN BACULA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010874

License Status

INACTIVE

Business

First Name

ANDREA

Middle

LYNN

Last Name

BACULA

Business Name

ANDREA LYNN BACULA

Original Issue Date

10/08/1998

Effective Date

11/06/2014

Expiration Date

09/30/2016

City

INVERNESS

State

Zip

60010

County

COOK

Ever Disciplined

LastModifiedDate

07/06/2016