CONSTANCE M WALTER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001627

License Status

NOT RENEWED

Business

First Name

CONSTANCE M

Last Name

WALTER

Business Name

CONSTANCE M WALTER

Original Issue Date

12/22/1972

Effective Date

09/08/2008

Expiration Date

09/30/2010

City

HAMPSHIRE

State

Zip

60140

County

KANE

Ever Disciplined

LastModifiedDate

11/08/2010