AMY M PEACOCK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004108

License Status

NOT RENEWED

Business

First Name

AMY M

Last Name

PEACOCK

Business Name

AMY M PEACOCK

Original Issue Date

12/20/1983

Effective Date

12/20/1983

Expiration Date

09/30/1988

City

SHOREWOOD

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

10/14/2005