BERNARD J BURCZUK JR - Physical Therapist License in Indiana | # 160004186

BERNARD J BURCZUK JR

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004186

License Status

NOT RENEWED

Business

N

First Name

BERNARD

Middle

J

Last Name

BURCZUK

Suffix

JR

Business Name

BERNARD J BURCZUK JR

Original Issue Date

06/27/2003

Effective Date

06/27/2003

Expiration Date

09/30/2005

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005