CAROL A VYSOCKY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000686

License Status

NOT RENEWED

Business

First Name

CAROL A

Last Name

VYSOCKY

Business Name

CAROL A VYSOCKY

Original Issue Date

10/08/1991

Effective Date

09/11/2017

Expiration Date

09/30/2019

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

01/13/2020