KELLY R DZAK - Physical Therapist License in Illinois | # 070013006

KELLY R DZAK

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013006

License Status

ACTIVE

Business

N

First Name

KELLY

Middle

R

Last Name

DZAK

Business Name

KELLY R DZAK

Original Issue Date

04/15/2002

Effective Date

09/07/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/07/2024