CHARLOTTE JOHANNA HIRT - Physical Therapist License in Illinois | # 070011528

CHARLOTTE JOHANNA HIRT

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011528

License Status

NOT RENEWED

Business

N

First Name

CHARLOTTE

Middle

JOHANNA

Last Name

HIRT

Business Name

CHARLOTTE JOHANNA HIRT

Original Issue Date

10/06/1999

Effective Date

10/01/2006

Expiration Date

09/30/2008

State

IL

Ever Disciplined

N

LastModifiedDate

11/06/2008