SUSAN G ZIDEK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009221

License Status

INACTIVE

Business

First Name

SUSAN G

Last Name

ZIDEK

Business Name

SUSAN G ZIDEK

Original Issue Date

01/02/1996

Effective Date

01/02/1996

Expiration Date

09/30/2000

City

OAK PARK

State

Zip

91377

Ever Disciplined

LastModifiedDate

10/17/2005