GARY J MASCILAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005969

License Status

NOT RENEWED

Business

First Name

GARY J

Last Name

MASCILAK

Suffix

Business Name

GARY J MASCILAK

Original Issue Date

02/17/1990

Effective Date

02/17/1990

Expiration Date

09/30/1994

City

WHEATON

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

10/14/2005