CARISSA DAWN WEAVER - Physical Therapist License in Illinois | # 160004269

CARISSA DAWN WEAVER

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004269

License Status

INACTIVE

Business

N

First Name

CARISSA

Middle

DAWN

Last Name

WEAVER

Business Name

CARISSA DAWN WEAVER

Original Issue Date

02/06/2004

Effective Date

09/30/2019

Expiration Date

12/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

09/09/2021