JOHN LAWRENCE WACHTEL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001386

License Status

NOT RENEWED

Business

First Name

JOHN LAWRENCE

Last Name

WACHTEL

Business Name

JOHN LAWRENCE WACHTEL

Original Issue Date

01/01/1998

Effective Date

09/17/2008

Expiration Date

09/30/2010

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/08/2010