KELLY CATHERINE ZAZECKIS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011389

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

CATHERINE

Last Name

ZAZECKIS

Business Name

KELLY CATHERINE ZAZECKIS

Original Issue Date

07/08/1999

Effective Date

07/08/1999

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005