LAURA L WALICZEK - Physical Therapist License in Oregon | # 070013623

LAURA L WALICZEK

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013623

License Status

INACTIVE

Business

N

First Name

LAURA

Middle

L

Last Name

WALICZEK

Business Name

LAURA L WALICZEK

Original Issue Date

09/08/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

OR

Ever Disciplined

N

LastModifiedDate

07/13/2006