NANCY J DOMZALSKI Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001572

License Status

INACTIVE

Business

First Name

NANCY J

Last Name

DOMZALSKI

Business Name

NANCY J DOMZALSKI

Original Issue Date

11/02/1992

Effective Date

11/02/1992

Expiration Date

09/30/2003

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005