GAIL E RUSSELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001709

License Status

NOT RENEWED

Business

First Name

GAIL E

Last Name

RUSSELL

Business Name

GAIL E RUSSELL

Original Issue Date

05/23/1973

Effective Date

05/23/1973

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005