LEAH SUSAN IRVIN - Physical Therapist License in Illinois | # 070011283

LEAH SUSAN IRVIN

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011283

License Status

INACTIVE

Business

N

First Name

LEAH

Middle

SUSAN

Last Name

IRVIN

Business Name

LEAH SUSAN IRVIN

Original Issue Date

04/29/1999

Effective Date

09/29/2008

Expiration Date

09/30/2010

State

IL

Ever Disciplined

N

LastModifiedDate

07/08/2010