AMANDA MICHELLE WIZINSKY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017461

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MICHELLE

Last Name

WIZINSKY

Business Name

AMANDA MICHELLE WIZINSKY

Original Issue Date

10/01/2009

Effective Date

08/01/2014

Expiration Date

09/30/2016

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

11/26/2016