KATHLEEN TOMCZYK BORN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002249

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

TOMCZYK

Last Name

BORN

Business Name

KATHLEEN TOMCZYK BORN

Original Issue Date

09/06/1995

Effective Date

09/06/1995

Expiration Date

09/30/2003

City

PEWAUKEE

State

Zip

53072

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005