SUSAN M PAUL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004266

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

PAUL

Business Name

SUSAN M PAUL

Original Issue Date

09/07/1984

Effective Date

09/14/2020

Expiration Date

09/30/2022

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

11/28/2022