NATHAN L MIKULCIK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011515

License Status

ACTIVE

Business

First Name

NATHAN

Middle

Last Name

MIKULCIK

Business Name

NATHAN L MIKULCIK

Original Issue Date

09/28/1999

Effective Date

08/21/2024

Expiration Date

09/30/2026

City

CREST HILL

State

Zip

60403

County

WILL

Ever Disciplined

LastModifiedDate

08/21/2024