WITOLD J MIERZWA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009026

License Status

ACTIVE

Business

First Name

WITOLD J

Last Name

MIERZWA

Business Name

WITOLD J MIERZWA

Original Issue Date

09/07/1995

Effective Date

08/20/2024

Expiration Date

09/30/2026

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/20/2024