MARY E ETZEL JAST Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001112

License Status

INACTIVE

Business

First Name

MARY E ETZEL

Last Name

JAST

Business Name

MARY E ETZEL JAST

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

WINNETKA

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

07/13/2006