ALEXANDRA I TEPOORTEN - Physical Therapist License in Illinois | # 070023436

ALEXANDRA I TEPOORTEN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023436

License Status

NOT RENEWED

Business

N

First Name

ALEXANDRA

Middle

I

Last Name

TEPOORTEN

Business Name

ALEXANDRA I TEPOORTEN

Original Issue Date

11/14/2017

Effective Date

11/14/2017

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

12/05/2018