PAULA R PENROD - Physical Therapist License in Illinois | # 160000668

PAULA R PENROD

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000668

License Status

NOT RENEWED

Business

N

First Name

PAULA

Middle

R

Last Name

PENROD

Business Name

PAULA R PENROD

Original Issue Date

10/02/1991

Effective Date

09/07/2017

Expiration Date

09/30/2019

State

IL

Ever Disciplined

N

LastModifiedDate

01/13/2020