KELLY R DZAK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013006

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

DZAK

Business Name

KELLY R DZAK

Original Issue Date

04/15/2002

Effective Date

09/07/2024

Expiration Date

09/30/2026

City

SHOREWOOD

State

Zip

60404

County

WILL

Ever Disciplined

LastModifiedDate

09/07/2024