KELLY L WITTICH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013363

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

WITTICH

Business Name

KELLY L WITTICH

Original Issue Date

02/11/2003

Effective Date

09/30/2016

Expiration Date

09/30/2018

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

12/05/2018