DEBRA M EAGLE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003216

License Status

NOT RENEWED

Business

First Name

DEBRA M

Last Name

EAGLE

Business Name

DEBRA M EAGLE

Original Issue Date

07/28/1980

Effective Date

07/28/1980

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005