KATELIN N DOMITROVICH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019564

License Status

NOT RENEWED

Business

First Name

KATELIN

Middle

Last Name

DOMITROVICH

Business Name

KATELIN N DOMITROVICH

Original Issue Date

11/05/2012

Effective Date

09/24/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021