MAREK DAL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010300

License Status

NOT RENEWED

Business

First Name

MAREK

Last Name

DAL

Business Name

MAREK DAL

Original Issue Date

10/21/1997

Effective Date

10/21/1997

Expiration Date

09/30/2000

City

LIVERPOOL

State

Zip

13090

Ever Disciplined

LastModifiedDate

10/17/2005