JOSEPHINE RUSSEL ANTON - Physical Therapist License in Illinois | # 070002962

JOSEPHINE RUSSEL ANTON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002962

License Status

NOT RENEWED

Business

N

First Name

JOSEPHINE RUSSEL

Last Name

ANTON

Business Name

JOSEPHINE RUSSEL ANTON

Original Issue Date

11/20/1979

Effective Date

11/20/1979

Expiration Date

08/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005