MARIUSZ WDOWIAK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005188

License Status

INACTIVE

Business

First Name

MARIUSZ

Last Name

WDOWIAK

Business Name

MARIUSZ WDOWIAK

Original Issue Date

06/23/2009

Effective Date

09/13/2011

Expiration Date

09/30/2013

City

PHOENIX

State

Zip

85032

County

ARIZONA

Ever Disciplined

LastModifiedDate

07/03/2013