FLORENT A THERIAULT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000510

License Status

NOT RENEWED

Business

First Name

FLORENT A

Last Name

THERIAULT

Business Name

FLORENT A THERIAULT

Original Issue Date

01/01/1998

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005