JUSTIN R PAWULA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017268

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

Last Name

PAWULA

Business Name

JUSTIN R PAWULA

Original Issue Date

07/29/2009

Effective Date

07/20/2016

Expiration Date

09/30/2018

City

CHERRY VALLEY

State

Zip

61016

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/05/2018