TAMARA ILYSE STILLMAN - Physical Therapist License in Illinois | # 070012777

TAMARA ILYSE STILLMAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012777

License Status

NOT RENEWED

Business

N

First Name

TAMARA

Middle

ILYSE

Last Name

STILLMAN

Business Name

TAMARA ILYSE STILLMAN

Original Issue Date

12/04/2001

Effective Date

12/04/2001

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005