JUDITH M BAZIL Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000973

License Status

INACTIVE

Business

First Name

JUDITH M

Last Name

BAZIL

Business Name

JUDITH M BAZIL

Original Issue Date

11/19/1991

Effective Date

11/19/1991

Expiration Date

09/30/1993

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005