SOPHIA E CZYZ Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002344

License Status

INACTIVE

Business

First Name

SOPHIA E

Last Name

CZYZ

Business Name

SOPHIA E CZYZ

Original Issue Date

01/02/1996

Effective Date

09/29/2011

Expiration Date

09/30/2013

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2013