ANN STANDISH RUSSELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000668

License Status

NOT RENEWED

Business

First Name

ANN STANDISH

Last Name

RUSSELL

Business Name

ANN STANDISH RUSSELL

Original Issue Date

01/01/1998

Effective Date

09/11/2012

Expiration Date

09/30/2014

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

11/17/2014