CONNIE M DUYTSCHAVER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001002

License Status

NOT RENEWED

Business

First Name

CONNIE M

Last Name

DUYTSCHAVER

Business Name

CONNIE M DUYTSCHAVER

Original Issue Date

01/01/1998

Expiration Date

09/30/1994

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

10/14/2005