TAYLOR J MITACEK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023166

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

Last Name

MITACEK

Business Name

TAYLOR J MITACEK

Original Issue Date

08/16/2017

Effective Date

08/18/2022

Expiration Date

09/30/2024

City

BARTLETT

State

Zip

60103

Ever Disciplined

LastModifiedDate

02/27/2025