SUE ANN ROTH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002493

License Status

NOT RENEWED

Business

First Name

SUE ANN

Last Name

ROTH

Business Name

SUE ANN ROTH

Original Issue Date

12/30/1977

Effective Date

09/26/2016

Expiration Date

09/30/2018

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

12/05/2018