MICHELLE MARIE LAZARSKI - Physical Therapist License in Illinois | # 070004154

MICHELLE MARIE LAZARSKI

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004154

License Status

NOT RENEWED

Business

N

First Name

MICHELLE MARIE

Last Name

LAZARSKI

Business Name

MICHELLE MARIE LAZARSKI

Original Issue Date

05/08/1984

Effective Date

05/08/1984

Expiration Date

09/30/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005