SUSAN DIANE EATON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001990

License Status

NOT RENEWED

Business

First Name

SUSAN DIANE

Last Name

EATON

Business Name

SUSAN DIANE EATON

Original Issue Date

05/19/1975

Effective Date

05/19/1975

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/14/2005