NICHOLAS T KACZKOWSKI Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025353

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

Last Name

KACZKOWSKI

Business Name

NICHOLAS T KACZKOWSKI

Original Issue Date

08/19/2020

Effective Date

09/07/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2024