LAUREN L KIWICZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006564

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

Last Name

KIWICZ

Business Name

LAUREN L KIWICZ

Original Issue Date

09/25/2013

Effective Date

09/11/2017

Expiration Date

09/30/2019

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

01/13/2020