DEBRA A SMAGACZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001622

License Status

NOT RENEWED

Business

First Name

DEBRA A

Last Name

SMAGACZ

Business Name

DEBRA A SMAGACZ

Original Issue Date

12/22/1972

Effective Date

08/14/2012

Expiration Date

09/30/2014

City

HAWTHORN WOODS

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

11/17/2014