PETER A TRAILOV Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001799

License Status

INACTIVE

Business

First Name

PETER A

Last Name

TRAILOV

Business Name

PETER A TRAILOV

Original Issue Date

12/20/1973

Effective Date

12/20/1973

Expiration Date

09/30/2002

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005