LYDIA A KUZAK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003781

License Status

INACTIVE

Business

First Name

LYDIA

Middle

Last Name

KUZAK

Business Name

LYDIA A KUZAK

Original Issue Date

12/22/2000

Effective Date

12/22/2000

Expiration Date

09/30/2003

City

EAGLE

State

Zip

53119

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005