SARAH R SAMULAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012997

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

SAMULAK

Business Name

SARAH R SAMULAK

Original Issue Date

04/12/2002

Effective Date

04/12/2002

Expiration Date

09/30/2004

City

SCHAUMBURG

State

Zip

60194

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005