TRACY L MASCILAK - Physical Therapist License in Illinois | # 070005532

TRACY L MASCILAK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005532

License Status

NOT RENEWED

Business

N

First Name

TRACY L

Last Name

MASCILAK

Business Name

TRACY L MASCILAK

Original Issue Date

12/07/1988

Effective Date

12/07/1988

Expiration Date

09/30/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005