TERESA D FENTON - Physical Therapist License in Illinois | # 160003431

TERESA D FENTON

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003431

License Status

INACTIVE

Business

N

First Name

TERESA

Middle

D

Last Name

FENTON

Business Name

TERESA D FENTON

Original Issue Date

10/07/1999

Effective Date

09/30/2005

Expiration Date

09/30/2007

State

IL

Ever Disciplined

N

LastModifiedDate

07/05/2007