PAWEL M WALCZAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009300

License Status

NOT RENEWED

Business

First Name

PAWEL M

Last Name

WALCZAK

Business Name

PAWEL M WALCZAK

Original Issue Date

01/13/1996

Effective Date

01/13/1996

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005