SHIRLEY JEAN HAASE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000315

License Status

INACTIVE

Business

First Name

SHIRLEY JEAN

Last Name

HAASE

Business Name

SHIRLEY JEAN HAASE

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005