SAMANTHA M PICKERT - Physical Therapist License in Illinois | # 070020813

SAMANTHA M PICKERT

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020813

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

M

Last Name

PICKERT

Business Name

SAMANTHA M PICKERT

Original Issue Date

08/19/2014

Effective Date

09/24/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021