MARIANICK C JAN - Physical Therapist License in Illinois | # 070008494

MARIANICK C JAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008494

License Status

NOT RENEWED

Business

N

First Name

MARIANICK C

Last Name

JAN

Business Name

MARIANICK C JAN

Original Issue Date

01/06/1995

Effective Date

01/06/1995

Expiration Date

09/30/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005