DEBORAH WICKAAM DAVIS - Physical Therapist License in Illinois | # 070002152

DEBORAH WICKAAM DAVIS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002152

License Status

NOT RENEWED

Business

N

First Name

DEBORAH WICKAAM

Last Name

DAVIS

Business Name

DEBORAH WICKAAM DAVIS

Original Issue Date

01/16/1976

Effective Date

01/16/1976

Expiration Date

09/30/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005