MACIEJ NOWAK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009132

License Status

INACTIVE

Business

First Name

MACIEJ

Last Name

NOWAK

Business Name

MACIEJ NOWAK

Original Issue Date

10/12/1995

Effective Date

10/12/1995

Expiration Date

09/30/2004

City

SUMTER

State

Zip

29150

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

09/01/2006