MARCUM R RANDALL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004120

License Status

NOT RENEWED

Business

First Name

MARCUM R

Last Name

RANDALL

Business Name

MARCUM R RANDALL

Original Issue Date

12/20/1983

Effective Date

12/20/1983

Expiration Date

09/30/1984

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005