Wisconsin
Department of Safety and Professional Services
Marciniak, Jacelyn A
Physical Therapist Assistant
License number
1104-19
Date granted
08/13/2004
Date expires
02/28/2015
Class
Physical Therapist Assistant
Status
Active
wisconsinlicensing.org
ID 12757371
LAST UPDATED 2024-04-02 14:40:43 UTC
LAST UPDATED 2024-04-02 14:40:43 UTC
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