SCOTT R IVIE - Physical Therapist License in Illinois | # 160002577

SCOTT R IVIE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002577

License Status

NOT RENEWED

Business

N

First Name

SCOTT R

Last Name

IVIE

Business Name

SCOTT R IVIE

Original Issue Date

11/14/1996

Effective Date

11/14/1996

Expiration Date

09/30/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005