PAULINE WATTS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003279

License Status

NOT RENEWED

Business

First Name

PAULINE

Last Name

WATTS

Business Name

PAULINE WATTS

Original Issue Date

10/20/1980

Effective Date

10/20/1980

Expiration Date

08/01/1982

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/14/2005