KIMBERLY M DZIADZIO Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014332

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

DZIADZIO

Business Name

KIMBERLY M DZIADZIO

Original Issue Date

03/04/2005

Effective Date

03/04/2005

Expiration Date

09/30/2006

City

SHELBY TOWNSHIP

State

Zip

48317

Ever Disciplined

LastModifiedDate

07/13/2006