KIMBERLEY NICOLE LASLO Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003978

License Status

INACTIVE

Business

First Name

KIMBERLEY

Middle

NICOLE

Last Name

LASLO

Business Name

KIMBERLEY NICOLE LASLO

Original Issue Date

12/20/2001

Effective Date

09/30/2005

Expiration Date

09/30/2007

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

07/05/2007