GEORGIA L NIEDERECKER - Physical Therapist License in Illinois | # 160000272

GEORGIA L NIEDERECKER

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000272

License Status

INACTIVE

Business

N

First Name

GEORGIA L

Last Name

NIEDERECKER

Business Name

GEORGIA L NIEDERECKER

Original Issue Date

07/25/1991

Effective Date

07/25/1991

Expiration Date

09/30/1993

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005