MELANIE M KOZAK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018015

License Status

INACTIVE

Business

First Name

MELANIE

Middle

Last Name

KOZAK

Business Name

MELANIE M KOZAK

Original Issue Date

08/06/2010

Effective Date

09/24/2022

Expiration Date

09/30/2024

City

SWANSEA

State

Zip

62226

Ever Disciplined

LastModifiedDate

09/29/2024