CORY EDWARD NIEDFELDT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013292

License Status

NOT RENEWED

Business

First Name

CORY

Middle

EDWARD

Last Name

NIEDFELDT

Business Name

CORY EDWARD NIEDFELDT

Original Issue Date

11/13/2002

Effective Date

08/21/2008

Expiration Date

09/30/2010

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2010