JACQUELINE A TEZAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000503

License Status

NOT RENEWED

Business

First Name

JACQUELINE A

Last Name

TEZAK

Business Name

JACQUELINE A TEZAK

Original Issue Date

08/29/1991

Effective Date

08/09/2023

Expiration Date

09/30/2025

City

MINOOKA

State

Zip

60447

County

GRUNDY

Ever Disciplined

LastModifiedDate

12/30/2025