KAREN ELIZABETH VITAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013846

License Status

NOT RENEWED

Business

First Name

KAREN

Middle

ELIZABETH

Last Name

VITAK

Business Name

KAREN ELIZABETH VITAK

Original Issue Date

03/19/2004

Effective Date

03/19/2004

Expiration Date

09/30/2004

City

LAKEWOOD

State

Zip

44107

County

OHIO

Ever Disciplined

LastModifiedDate

10/17/2005