CARL JONATHAN LEAF - Physical Therapist License in Illinois | # 070002108

CARL JONATHAN LEAF

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002108

License Status

INACTIVE

Business

N

First Name

CARL JONATHAN

Last Name

LEAF

Business Name

CARL JONATHAN LEAF

Original Issue Date

01/16/1976

Effective Date

10/01/2006

Expiration Date

09/30/2008

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2008