LIDIA IWANOWSKA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003034

License Status

NOT RENEWED

Business

First Name

LIDIA

Last Name

IWANOWSKA

Business Name

LIDIA IWANOWSKA

Original Issue Date

08/13/1998

Effective Date

09/16/2021

Expiration Date

09/30/2023

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/02/2024

Case Number

2021005767

Action

Suspension

Discipline Start Date

10/22/2021

Discipline End Date

04/21/2022

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 04/22/2022.