EARL B BROCK JR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001615

License Status

NOT RENEWED

Business

First Name

EARL B

Last Name

BROCK JR

Business Name

EARL B BROCK JR

Original Issue Date

12/22/1972

Effective Date

12/22/1972

Expiration Date

09/30/1984

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005