GRACE MAZUREK - Physical Therapist License in Illinois | # 160002292

GRACE MAZUREK

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002292

License Status

INACTIVE

Business

N

First Name

GRACE

Last Name

MAZUREK

Business Name

GRACE MAZUREK

Original Issue Date

09/19/1995

Effective Date

09/19/1995

Expiration Date

09/30/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005