DENNIS E DEBELAK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001619

License Status

INACTIVE

Business

First Name

DENNIS E

Last Name

DEBELAK

Business Name

DENNIS E DEBELAK

Original Issue Date

12/22/1972

Effective Date

12/22/1972

Expiration Date

09/30/1998

City

NAPPANEE

State

Zip

46550

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2005