KANDACE L KISKURNO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006006

License Status

NOT RENEWED

Business

First Name

KANDACE

Middle

Last Name

KISKURNO

Business Name

KANDACE L KISKURNO

Original Issue Date

05/30/2012

Effective Date

09/17/2019

Expiration Date

01/31/2022

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

05/19/2022