BENJAMIN B PIASECKI Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006130

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

PIASECKI

Business Name

BENJAMIN B PIASECKI

Original Issue Date

08/13/2012

Effective Date

12/07/2021

Expiration Date

09/30/2023

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

02/02/2024