PAULA ANN MACKOWIAK - Physical Therapist License in Virginia | # 070001952

PAULA ANN MACKOWIAK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001952

License Status

NOT RENEWED

Business

N

First Name

PAULA ANN

Last Name

MACKOWIAK

Business Name

PAULA ANN MACKOWIAK

Original Issue Date

12/22/1974

Effective Date

12/22/1974

State

VA

Ever Disciplined

N

LastModifiedDate

10/14/2005