MACIEJ M KUSMIERCZYK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008155

License Status

INACTIVE

Business

First Name

MACIEJ M

Last Name

KUSMIERCZYK

Business Name

MACIEJ M KUSMIERCZYK

Original Issue Date

04/22/1994

Effective Date

04/22/1994

Expiration Date

09/30/2000

City

STERLING HEIGHTS

State

Zip

48314

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/17/2005