DALE S DOUGLAS - Physical Therapist License in Illinois | # 070002358

DALE S DOUGLAS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002358

License Status

NOT RENEWED

Business

N

First Name

DALE S

Last Name

DOUGLAS

Business Name

DALE S DOUGLAS

Original Issue Date

01/13/1977

Effective Date

01/13/1977

Expiration Date

09/30/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005