CONNIE R BARCISZEWSKI Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003245

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

Last Name

BARCISZEWSKI

Business Name

CONNIE R BARCISZEWSKI

Original Issue Date

12/22/1998

Effective Date

07/04/2019

Expiration Date

01/31/2022

City

BREESE

State

Zip

62230

County

CLINTON

Ever Disciplined

LastModifiedDate

05/19/2022