ROCKWELL GREY SUNCUACO BENNETT - Physical Therapist License in Illinois | # 070017489

ROCKWELL GREY SUNCUACO BENNETT

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017489

License Status

NOT RENEWED

Business

N

First Name

ROCKWELL GREY

Middle

SUNCUACO

Last Name

BENNETT

Business Name

ROCKWELL GREY SUNCUACO BENNETT

Original Issue Date

10/27/2009

Effective Date

09/06/2012

Expiration Date

09/30/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014