TRACY MICHELLE RICHARDSON - Physical Therapist License in Illinois | # 160001508

TRACY MICHELLE RICHARDSON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001508

License Status

NOT RENEWED

Business

N

First Name

TRACY MICHELLE

Last Name

RICHARDSON

Business Name

TRACY MICHELLE RICHARDSON

Original Issue Date

09/25/1992

Effective Date

09/25/1992

Expiration Date

09/30/1995

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005