LAUREN KUBASIAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019220

License Status

NOT RENEWED

Business

First Name

LAUREN

Last Name

KUBASIAK

Business Name

LAUREN KUBASIAK

Original Issue Date

07/31/2012

Effective Date

07/31/2012

Expiration Date

09/30/2014

City

GENOA

State

Zip

60135

County

DEKALB

Ever Disciplined

LastModifiedDate

11/17/2014