KATELIN M KOONTZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018931

License Status

NOT RENEWED

Business

First Name

KATELIN

Middle

Last Name

KOONTZ

Business Name

KATELIN M KOONTZ

Original Issue Date

01/24/2012

Effective Date

09/04/2012

Expiration Date

09/30/2014

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014