DALE S DOUGLAS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002358

License Status

NOT RENEWED

Business

First Name

DALE S

Last Name

DOUGLAS

Business Name

DALE S DOUGLAS

Original Issue Date

01/13/1977

Effective Date

01/13/1977

Expiration Date

09/30/1998

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005