MARY CAROL GOODRICH - Physical Therapist License in Illinois | # 070002920

MARY CAROL GOODRICH

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002920

License Status

NOT RENEWED

Business

N

First Name

MARY CAROL

Last Name

GOODRICH

Business Name

MARY CAROL GOODRICH

Original Issue Date

06/04/1979

Effective Date

06/04/1979

Expiration Date

08/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005