META E DEFOREST Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000040

License Status

INACTIVE

Business

First Name

META E

Last Name

DEFOREST

Business Name

META E DEFOREST

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2006