MARIANICK C JAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008494

License Status

NOT RENEWED

Business

First Name

MARIANICK C

Last Name

JAN

Business Name

MARIANICK C JAN

Original Issue Date

01/06/1995

Effective Date

01/06/1995

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005