MARIETTA D CUKINGNAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011939

License Status

NOT RENEWED

Business

First Name

MARIETTA

Middle

Last Name

CUKINGNAN

Business Name

MARIETTA D CUKINGNAN

Original Issue Date

05/12/2000

Effective Date

05/12/2000

Expiration Date

09/30/2002

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005