AGNIESZKA ANNA KISIEL-MUCHA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022782

License Status

INACTIVE

Business

First Name

AGNIESZKA

Middle

ANNA

Last Name

KISIEL-MUCHA

Business Name

AGNIESZKA ANNA KISIEL-MUCHA

Original Issue Date

01/17/2017

Effective Date

07/16/2018

Expiration Date

09/30/2020

City

BOLINGBROOK

State

Zip

60490

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2020