ALTA FERN KAUFMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001303

License Status

NOT RENEWED

Business

First Name

ALTA FERN

Last Name

KAUFMAN

Business Name

ALTA FERN KAUFMAN

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005