CARL MARK PATRNCHAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002325

License Status

NOT RENEWED

Business

First Name

CARL MARK

Last Name

PATRNCHAK

Business Name

CARL MARK PATRNCHAK

Original Issue Date

01/11/1977

Effective Date

09/29/2022

Expiration Date

09/30/2024

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/27/2025