ADRIA ROSE KLUCARICH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020678

License Status

NOT RENEWED

Business

First Name

ADRIA

Middle

ROSE

Last Name

KLUCARICH

Business Name

ADRIA ROSE KLUCARICH

Original Issue Date

06/02/2014

Effective Date

09/15/2014

Expiration Date

09/30/2016

City

MILWAUKEE

State

Zip

53226

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/26/2016