TRACY L MASCILAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005532

License Status

NOT RENEWED

Business

First Name

TRACY L

Last Name

MASCILAK

Business Name

TRACY L MASCILAK

Original Issue Date

12/07/1988

Effective Date

12/07/1988

Expiration Date

09/30/1994

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/14/2005