MICHAEL E GUZIAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003277

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

GUZIAK

Business Name

MICHAEL E GUZIAK

Original Issue Date

01/13/1999

Effective Date

01/13/1999

Expiration Date

09/30/2005

City

RACINE

State

Zip

53402

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005