TERI S VINCENT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002295

License Status

NOT RENEWED

Business

First Name

TERI S

Last Name

VINCENT

Business Name

TERI S VINCENT

Original Issue Date

01/11/1977

Effective Date

10/01/2014

Expiration Date

09/30/2016

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/26/2016