SUSAN M RUPPERT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004051

License Status

INACTIVE

Business

First Name

SUSAN M

Last Name

RUPPERT

Business Name

SUSAN M RUPPERT

Original Issue Date

10/28/1983

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/13/2006