SUSAN MILLER BLOUNT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000542

License Status

NOT RENEWED

Business

First Name

SUSAN MILLER

Last Name

BLOUNT

Business Name

SUSAN MILLER BLOUNT

Original Issue Date

01/01/1998

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005