CAMILLE FRAISER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002563

License Status

NOT RENEWED

Business

First Name

CAMILLE

Last Name

FRAISER

Business Name

CAMILLE FRAISER

Original Issue Date

01/11/1978

Effective Date

01/11/1978

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005