ILSE M STAUCH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000573

License Status

NOT RENEWED

Business

First Name

ILSE M

Last Name

STAUCH

Business Name

ILSE M STAUCH

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005