EDGAR J KLIXBULL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013693

License Status

NOT RENEWED

Business

First Name

EDGAR

Middle

Last Name

KLIXBULL

Business Name

EDGAR J KLIXBULL

Original Issue Date

11/04/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

NAPERVILLE

State

Zip

60540

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006