SAMUEL F WALENTA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002934

License Status

NOT RENEWED

Business

First Name

SAMUEL F

Last Name

WALENTA

Business Name

SAMUEL F WALENTA

Original Issue Date

06/28/1979

Effective Date

06/28/1979

Expiration Date

09/30/1994

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005