ALTA FERN KAUFMAN - Physical Therapist License in Illinois | # 070001303

ALTA FERN KAUFMAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001303

License Status

NOT RENEWED

Business

N

First Name

ALTA FERN

Last Name

KAUFMAN

Business Name

ALTA FERN KAUFMAN

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005