PER A BACKSTROM - Physical Therapist License in Illinois | # 070004494

PER A BACKSTROM

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004494

License Status

NOT RENEWED

Business

N

First Name

PER A

Last Name

BACKSTROM

Business Name

PER A BACKSTROM

Original Issue Date

05/09/1985

Effective Date

05/09/1985

Expiration Date

09/30/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005