KAREN ANN WALLIS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001607

License Status

NOT RENEWED

Business

First Name

KAREN ANN

Last Name

WALLIS

Business Name

KAREN ANN WALLIS

Original Issue Date

11/29/1972

Effective Date

11/29/1972

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

10/14/2005