LORRAINE MARIE SKOLAK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001361

License Status

INACTIVE

Business

First Name

LORRAINE MARIE

Last Name

SKOLAK

Business Name

LORRAINE MARIE SKOLAK

Original Issue Date

01/22/1992

Effective Date

01/22/1992

Expiration Date

09/30/1993

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2005