MARY ELLEN ROZGA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002508

License Status

NOT RENEWED

Business

First Name

MARY ELLEN

Last Name

ROZGA

Business Name

MARY ELLEN ROZGA

Original Issue Date

10/16/1996

Effective Date

10/16/1996

Expiration Date

09/30/2003

City

MILWAUKEE

State

Zip

53215

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005