AGNIESZKA OPALA - Physical Therapist License in Illinois | # 070009289

AGNIESZKA OPALA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009289

License Status

NOT RENEWED

Business

N

First Name

AGNIESZKA

Last Name

OPALA

Business Name

AGNIESZKA OPALA

Original Issue Date

01/10/1996

Effective Date

01/10/1996

Expiration Date

09/30/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005