MARGUERITE I RANDOLPH - Physical Therapist License in Illinois | # 070014899

MARGUERITE I RANDOLPH

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014899

License Status

NOT RENEWED

Business

N

First Name

MARGUERITE

Middle

I

Last Name

RANDOLPH

Business Name

MARGUERITE I RANDOLPH

BusinessDBA

GERNADY

Original Issue Date

03/03/2006

Effective Date

09/15/2010

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

01/16/2013