JILL V DZIAK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003680

License Status

ACTIVE

Business

First Name

JILL

Middle

Last Name

DZIAK

Business Name

JILL V DZIAK

Original Issue Date

09/22/2000

Effective Date

09/22/2025

Expiration Date

09/30/2027

City

BOLINGBROOK

State

Zip

60440

Ever Disciplined

LastModifiedDate

09/22/2025