IWONA LACIAK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001768

License Status

INACTIVE

Business

First Name

IWONA

Last Name

LACIAK

Business Name

IWONA LACIAK

Original Issue Date

09/22/1993

Effective Date

09/22/1993

Expiration Date

09/30/1997

City

LEMONT

State

Zip

60439

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/14/2005