LORRAINE B PARK - Physical Therapist License in Illinois | # 070005020

LORRAINE B PARK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005020

License Status

NOT RENEWED

Business

N

First Name

LORRAINE B

Last Name

PARK

Business Name

LORRAINE B PARK

Original Issue Date

01/27/1987

Effective Date

01/27/1987

Expiration Date

09/30/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005