LAUREN A KACZMAREK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005911

License Status

INACTIVE

Business

First Name

LAUREN

Middle

Last Name

KACZMAREK

Business Name

LAUREN A KACZMAREK

Original Issue Date

12/19/2011

Effective Date

09/23/2013

Expiration Date

09/30/2015

City

LAFAYETTE

State

Zip

47905

County

INDIANA

Ever Disciplined

LastModifiedDate

07/06/2015