MATTHEW JOSEPH BLASZKIEWICZ - Physical Therapist License in Illinois | # 160007801

MATTHEW JOSEPH BLASZKIEWICZ

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007801

License Status

NOT RENEWED

Business

N

First Name

MATTHEW

Middle

JOSEPH

Last Name

BLASZKIEWICZ

Business Name

MATTHEW JOSEPH BLASZKIEWICZ

Original Issue Date

02/06/2017

Effective Date

08/28/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/19/2022