LUZ A FORYSTEK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017058

License Status

NOT RENEWED

Business

First Name

LUZ

Middle

Last Name

FORYSTEK

Business Name

LUZ A FORYSTEK

Original Issue Date

04/23/2009

Effective Date

09/30/2014

Expiration Date

09/30/2016

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

11/26/2016