BRIAN J STANISZEWSKI Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013318

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

STANISZEWSKI

Business Name

BRIAN J STANISZEWSKI

Original Issue Date

11/26/2002

Effective Date

09/12/2024

Expiration Date

09/30/2026

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/12/2024