LAURA S IVANIC Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005745

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

IVANIC

Business Name

LAURA S IVANIC

Original Issue Date

08/18/2011

Effective Date

08/14/2019

Expiration Date

01/31/2022

City

ELBURN

State

Zip

60119

County

KANE

Ever Disciplined

LastModifiedDate

05/19/2022