SAMUEL WILLIAM RUZIC Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000626

License Status

NOT RENEWED

Business

First Name

SAMUEL WILLIAM

Last Name

RUZIC

Business Name

SAMUEL WILLIAM RUZIC

Original Issue Date

01/01/1998

Effective Date

09/08/2008

Expiration Date

09/30/2010

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

11/08/2010