NICOLE C WALCZAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013125

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

WALCZAK

Business Name

NICOLE C WALCZAK

Original Issue Date

08/12/2002

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/06/2008