KRISTEN L BUCHTA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017082

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

BUCHTA

Business Name

KRISTEN L BUCHTA

Original Issue Date

05/04/2009

Effective Date

08/31/2012

Expiration Date

09/30/2014

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014