STEPHAN ROMAN BILAK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017465

License Status

INACTIVE

Business

First Name

STEPHAN

Middle

ROMAN

Last Name

BILAK

Business Name

STEPHAN ROMAN BILAK

Original Issue Date

10/05/2009

Effective Date

09/13/2010

Expiration Date

09/30/2012

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/05/2012