SUSAN ELIZABETH WEISS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002658

License Status

NOT RENEWED

Business

First Name

SUSAN ELIZABETH

Last Name

WEISS

Business Name

SUSAN ELIZABETH WEISS

Original Issue Date

06/01/1978

Effective Date

06/01/1978

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005