GILLES H TARQUIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004078

License Status

NOT RENEWED

Business

First Name

GILLES H

Last Name

TARQUIN

Suffix

Business Name

GILLES H TARQUIN

Original Issue Date

10/28/1983

Effective Date

10/28/1983

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005