MARY BETH SAMULAK - Physical Therapist License in Illinois | # 160007492

MARY BETH SAMULAK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007492

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/19/2022