PHYLLIS WASHINGTON GRAY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000345

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

WASHINGTON

Last Name

GRAY

Business Name

PHYLLIS WASHINGTON GRAY

Original Issue Date

01/01/1998

Effective Date

07/12/2010

Expiration Date

09/30/2012

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

01/16/2013