META E DEFOREST - Physical Therapist License in Illinois | # 070000040

META E DEFOREST

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000040

License Status

INACTIVE

Business

N

First Name

META E

Last Name

DEFOREST

Business Name

META E DEFOREST

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2006