RAYMOND B KOWALCZYK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004103

License Status

NOT RENEWED

Business

First Name

RAYMOND B

Last Name

KOWALCZYK

Business Name

RAYMOND B KOWALCZYK

Original Issue Date

12/20/1983

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006