MARY BETH SAMULAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007492

License Status

NOT RENEWED

Business

First Name

MARY

Middle

BETH

Last Name

SAMULAK

Business Name

MARY BETH SAMULAK

Original Issue Date

06/08/2016

Effective Date

07/11/2019

Expiration Date

01/31/2022

City

ROLLING MEADOWS

State

Zip

60008

County

MICHIGAN

Ever Disciplined

LastModifiedDate

05/19/2022