AGNIESZKA OPALA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009289

License Status

NOT RENEWED

Business

First Name

AGNIESZKA

Last Name

OPALA

Business Name

AGNIESZKA OPALA

Original Issue Date

01/10/1996

Effective Date

01/10/1996

Expiration Date

09/30/2000

City

PROSPECT HEIGHTS

State

Zip

60070

Ever Disciplined

LastModifiedDate

10/17/2005