SAMUEL F WALENTA - Physical Therapist License in Illinois | # 070002934

SAMUEL F WALENTA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002934

License Status

NOT RENEWED

Business

N

First Name

SAMUEL F

Last Name

WALENTA

Business Name

SAMUEL F WALENTA

Original Issue Date

06/28/1979

Effective Date

06/28/1979

Expiration Date

09/30/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005