SUZANNE L SOUHRADA - Physical Therapist License in Illinois | # 160000198

SUZANNE L SOUHRADA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000198

License Status

NOT RENEWED

Business

N

First Name

SUZANNE L

Last Name

SOUHRADA

Business Name

SUZANNE L SOUHRADA

Original Issue Date

07/03/1991

Effective Date

07/03/1991

Expiration Date

09/30/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005