NADIA K KICZULA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008447

License Status

NOT RENEWED

Business

First Name

NADIA

Middle

Last Name

KICZULA

Business Name

NADIA K KICZULA

Original Issue Date

10/29/2018

Effective Date

10/29/2018

Expiration Date

09/30/2019

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

01/13/2020