TAYLOR G KISTULINEC Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028122

License Status

ACTIVE

Business

First Name

TAYLOR

Middle

Last Name

KISTULINEC

Business Name

TAYLOR G KISTULINEC

Original Issue Date

03/19/2024

Effective Date

07/09/2024

Expiration Date

09/30/2026

City

WINFIELD

State

Zip

60190

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/09/2024