MARCUM R RANDALL - Physical Therapist License in Illinois | # 070004120

MARCUM R RANDALL

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004120

License Status

NOT RENEWED

Business

N

First Name

MARCUM R

Last Name

RANDALL

Business Name

MARCUM R RANDALL

Original Issue Date

12/20/1983

Effective Date

12/20/1983

Expiration Date

09/30/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005