JUDY M KAZAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004380

License Status

NOT RENEWED

Business

First Name

JUDY

Middle

Last Name

KAZAK

Business Name

JUDY M KAZAK

Original Issue Date

11/29/2004

Effective Date

09/25/2017

Expiration Date

09/30/2019

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

01/13/2020