State of Illinois - License Look-up Results
2/9/2010 Illinois Division of Professional Regulation 11:16:54 AM

You requested license number: 036-078566

Licensee's Name DBA /
AKA		 License
Number		 License
Status		 City, State Original
Date		 Current
Exprtn		 Ever Discplned?
OTTO J PLACIK 036078566 ACTIVEARLINGTON HEIGHTS, IL03/14/1989 07/31/2011 N

Page 1