FLORA ANN CARBON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000558

License Status

INACTIVE

Business

First Name

FLORA ANN

Last Name

CARBON

Business Name

FLORA ANN CARBON

Original Issue Date

01/01/1998

Effective Date

07/14/2010

Expiration Date

09/30/2012

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

07/05/2012