MICHELLE MARIE LAZARSKI Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004154

License Status

NOT RENEWED

Business

First Name

MICHELLE MARIE

Last Name

LAZARSKI

Business Name

MICHELLE MARIE LAZARSKI

Original Issue Date

05/08/1984

Effective Date

05/08/1984

Expiration Date

09/30/1986

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005