MARY LINK LAROSE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002803

License Status

INACTIVE

Business

First Name

MARY

Middle

LINK

Last Name

LAROSE

Business Name

MARY LINK LAROSE

Original Issue Date

12/18/1978

Effective Date

08/17/2010

Expiration Date

09/30/2012

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/05/2012