SUSAN SLOCUM BLAIR - Physical Therapist License in Illinois | # 070010076

SUSAN SLOCUM BLAIR

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010076

License Status

NOT RENEWED

Business

N

First Name

SUSAN SLOCUM

Last Name

BLAIR

Business Name

SUSAN SLOCUM BLAIR

Original Issue Date

04/10/1997

Effective Date

09/04/2012

Expiration Date

09/30/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014