MARY M RANDA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000120

License Status

NOT RENEWED

Business

First Name

MARY M

Last Name

RANDA

Business Name

MARY M RANDA

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

WESTERN SPRINGS

State

Zip

60554

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005