CARLENE J WILSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001832

License Status

NOT RENEWED

Business

First Name

CARLENE J

Last Name

WILSON

Business Name

CARLENE J WILSON

Original Issue Date

05/06/1974

Effective Date

05/06/1974

Expiration Date

09/30/2004

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005