MACIEJ R KOZLOWSKI Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025967

License Status

ACTIVE

Business

First Name

MACIEJ

Middle

Last Name

KOZLOWSKI

Business Name

MACIEJ R KOZLOWSKI

Original Issue Date

06/15/2021

Effective Date

09/22/2024

Expiration Date

09/30/2026

City

LAKE IN THE HILLS

State

Zip

60156

Ever Disciplined

LastModifiedDate

09/22/2024