LAURETTE LUCILLE PEPIN - Physical Therapist License in Illinois | # 070012782

LAURETTE LUCILLE PEPIN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012782

License Status

NOT RENEWED

Business

N

First Name

LAURETTE

Middle

LUCILLE

Last Name

PEPIN

Business Name

LAURETTE LUCILLE PEPIN

Original Issue Date

12/10/2001

Effective Date

12/10/2001

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005