GRACE MAZUREK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002292

License Status

INACTIVE

Business

First Name

GRACE

Last Name

MAZUREK

Business Name

GRACE MAZUREK

Original Issue Date

09/19/1995

Effective Date

09/19/1995

Expiration Date

09/30/2001

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005