MARY LOUISE BUCHANAN - Physical Therapist License in Illinois | # 070002562

MARY LOUISE BUCHANAN

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002562

License Status

INACTIVE

Business

N

First Name

MARY LOUISE

Last Name

BUCHANAN

Business Name

MARY LOUISE BUCHANAN

Original Issue Date

01/11/1978

Effective Date

09/13/2016

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

07/07/2018