CANDACE M COTSIOMITIS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002565

License Status

NOT RENEWED

Business

First Name

CANDACE M

Last Name

COTSIOMITIS

Business Name

CANDACE M COTSIOMITIS

Original Issue Date

11/12/1996

Effective Date

10/02/2017

Expiration Date

09/30/2019

City

ISLAND LAKE

State

Zip

60042

County

LAKE

Ever Disciplined

LastModifiedDate

01/13/2020