KEVIN FIDORUK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028247

License Status

ACTIVE

Business

First Name

KEVIN

Last Name

FIDORUK

Business Name

KEVIN FIDORUK

Original Issue Date

05/20/2024

Effective Date

09/04/2024

Expiration Date

09/30/2026

City

GLEN ELLYN

State

Zip

60137

Ever Disciplined

LastModifiedDate

09/04/2024