LYNN M BLASZCZAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002128

License Status

NOT RENEWED

Business

First Name

LYNN M

Last Name

BLASZCZAK

Business Name

LYNN M BLASZCZAK

Original Issue Date

02/17/1995

Effective Date

02/17/1995

Expiration Date

09/30/1995

City

PULASKI

State

Zip

54162

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005