LAURA A WASSILAK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011247

License Status

INACTIVE

Business

First Name

LAURA

Middle

Last Name

WASSILAK

Business Name

LAURA A WASSILAK

Original Issue Date

04/12/1999

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

VALPARAISO

State

Zip

46383

Ever Disciplined

LastModifiedDate

07/10/2008