LORRAINE MARIE SKOLAK - Physical Therapist License in Indiana | # 160001361

LORRAINE MARIE SKOLAK

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001361

License Status

INACTIVE

Business

N

First Name

LORRAINE MARIE

Last Name

SKOLAK

Business Name

LORRAINE MARIE SKOLAK

Original Issue Date

01/22/1992

Effective Date

01/22/1992

Expiration Date

09/30/1993

State

IN

Ever Disciplined

N

LastModifiedDate

10/14/2005