DARLENE M RUSSELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002933

License Status

NOT RENEWED

Business

First Name

DARLENE M

Last Name

RUSSELL

Business Name

DARLENE M RUSSELL

Original Issue Date

06/28/1979

Effective Date

06/28/1979

Expiration Date

09/30/1984

City

GLENDALE HEIGHTS

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/14/2005