PRZEMYSLAW J ILCZYK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021524

License Status

ACTIVE

Business

First Name

PRZEMYSLAW

Middle

Last Name

ILCZYK

Business Name

PRZEMYSLAW J ILCZYK

Original Issue Date

08/10/2015

Effective Date

09/04/2024

Expiration Date

09/30/2026

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

09/04/2024