MARIA A BRZAZGON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008233

License Status

INACTIVE

Business

First Name

MARIA A

Last Name

BRZAZGON

Business Name

MARIA A BRZAZGON

Original Issue Date

07/18/1994

Effective Date

07/18/1994

Expiration Date

09/30/1996

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/14/2005