WANDA G WALASEK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002393

License Status

INACTIVE

Business

First Name

WANDA G

Last Name

WALASEK

Business Name

WANDA G WALASEK

Original Issue Date

01/13/1996

Effective Date

08/28/2009

Expiration Date

09/30/2011

City

PITTSFIELD

State

Zip

48197

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/07/2011