SUSAN K DALEIDEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002896

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

DALEIDEN

Business Name

SUSAN K DALEIDEN

Original Issue Date

04/20/1979

Effective Date

04/20/1979

Expiration Date

08/01/1982

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/02/2009