MICHELLE L CHASTULIK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010350

License Status

NOT RENEWED

Business

First Name

MICHELLE L

Last Name

CHASTULIK

Business Name

MICHELLE L CHASTULIK

Original Issue Date

11/21/1997

Effective Date

11/21/1997

Expiration Date

09/30/2000

City

WARREN

State

Zip

44484

County

OHIO

Ever Disciplined

LastModifiedDate

10/17/2005