GARY J MASCILAK - Physical Therapist License in Illinois | # 070005969

GARY J MASCILAK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005969

License Status

NOT RENEWED

Business

N

First Name

GARY J

Last Name

MASCILAK

Suffix

DC

Business Name

GARY J MASCILAK

Original Issue Date

02/17/1990

Effective Date

02/17/1990

Expiration Date

09/30/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005