KRISTAN A LEECH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017896

License Status

NOT RENEWED

Business

First Name

KRISTAN

Middle

Last Name

LEECH

Business Name

KRISTAN A LEECH

Original Issue Date

07/19/2010

Effective Date

07/23/2014

Expiration Date

09/30/2016

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/26/2016