KATHLEEN MARGARET RUSSO - Physical Therapist License in Illinois | # 070018546

KATHLEEN MARGARET RUSSO

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018546

License Status

NOT RENEWED

Business

N

First Name

KATHLEEN

Middle

MARGARET

Last Name

RUSSO

Business Name

KATHLEEN MARGARET RUSSO

Original Issue Date

07/12/2011

Effective Date

09/14/2012

Expiration Date

09/30/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014