MATTHEW JOSEPH BLASZKIEWICZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007801

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

JOSEPH

Last Name

BLASZKIEWICZ

Business Name

MATTHEW JOSEPH BLASZKIEWICZ

Original Issue Date

02/06/2017

Effective Date

08/28/2019

Expiration Date

01/31/2022

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2022