ETHAN RONALD JEDZINIAK - Physical Therapist License in Illinois | # 070026856

ETHAN RONALD JEDZINIAK

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026856

License Status

ACTIVE

Business

N

First Name

ETHAN

Middle

RONALD

Last Name

JEDZINIAK

Business Name

ETHAN RONALD JEDZINIAK

Original Issue Date

08/17/2022

Effective Date

08/28/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

08/28/2024