SALLY B SUTKOWSKI Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000502

License Status

NOT RENEWED

Business

First Name

SALLY B

Last Name

SUTKOWSKI

Business Name

SALLY B SUTKOWSKI

Original Issue Date

11/21/1961

Effective Date

08/27/2014

Expiration Date

09/30/2016

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

11/26/2016