ANNE L MAZAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004934

License Status

NOT RENEWED

Business

First Name

ANNE L

Last Name

MAZAK

Business Name

ANNE L MAZAK

Original Issue Date

01/10/1987

Effective Date

01/10/1987

Expiration Date

09/30/1988

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

10/14/2005