DIANE BURNICKAS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002555

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

BURNICKAS

Business Name

DIANE BURNICKAS

Original Issue Date

11/06/1996

Effective Date

09/16/2015

Expiration Date

09/30/2017

City

WORTH

State

Zip

60482

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017